A case of transverse vaginal septum causing obstructed labour

Saratu Bello, Ukwu Eze, Adoke Umar


Transverse vaginal septum (TVS) is a congenital mullerian malformation resulting from failure of fusion or canalization of the urogenital sinus and the mullerian ducts. This results in amenorrhea, inability to consummate marriage and primary infertility if left untreated.  It is a rare finding in pregnancy and labor. However, due to ignorance, poor health seeking behavior and poverty in our setting the diagnosis of transverse vaginal septum may only be encountered in labor. We describe an 18 year old primigravida at term presented with history and findings of obstructed labor due to transverse vaginal septum (low-type) with a small central aperture first diagnosed in labor. This report is aimed at alerting clinicians that all primigravidae should have a routine pelvic examination during their antenatal visit to rule-out lower genital abnormalities.


Septum, Obstructed labor, Congenital mullerian malformation

Full Text:



Delaunay. Etude Sue le Cloisonnement Transversal du vagin complete et imcomplet d’origine congenital. Thesis. Paris. 1877.

Reed MH, Griscom NT. Hydrometrocolpos in Infancy. Am J Roentgenol. 1973;118:1.

Ara S, Tahir S. Diagnosis and Management of Congenital anomalis of Vagina. Ann Punjab Med Coll. 2011;5:124.

Muram D. Pediatric and Adolescent Gynaecology. In: Decherney AH, Nathan L, Goodwin TM, Laufer N (eds). Current Diagnosis and Treatment in Obstetrics and Gynecology. 10th ed. MC Graw Hill Medical Publishing Division New York. 2007;540-69.

Dutta DC. Congenital Malformations of female genital organs. In Konar H (ed) DC Dutta Textbook of Gynecology. 5th ed. New Central Book Agency Kolkata. 2008;40-6.

Rock J, Breech L. Surgical Correction of Uterovaginal Anomalies. Glob Libr Women’s Med. 2010;10:10048.

Arthur HR. Obstructed labor due to septate vagina. BJOG. 1948;55(6);766-9.

Ventolini G. Vaginal Septum in Adolescents: Clinical Implications. J Genit Syst Disor. 2013;e002.

Ustun Y, Zeteroglu S, Sahin G. A Case of transverse vaginal septum diagnosed during labour. Erciyes Med J. 2005;27(3):136-8.

Gary V, Sara J, Cory BJ, Ran N. Obstruction of Labor by a Vertical Lower Vaginal Septum: A Case Report and Review of the Literature. J Gynecol Surg. 2006;22(4):167.

Blanton EN, Rouse DJ. Trial of labor in women with Transverse Vaginal Septa. Obstet Gynecol. 2003;101:1110-2.