A Rare Case of Neglected Transverse Vaginal Septum with Poor Consequences: A Case Report

Document Type : Case Report

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Interventional Radiologist, Tehran, Iran

4 Surgical Oncology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

5 Department of Obstetrics and Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

6 BC in Midwifery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

10.22062/jkmu.2021.91767

Abstract

Background: Transverse vaginal septum is a rare mullerian anomaly. Patients with a complete transverse vaginal septum generally complain of primary amenorrhea. Here, we presented a rare case of high transverse vaginal septum with abdominal mass during infancy in addition to chronic pelvic pain and cyclic hematuria during adulthood.
Case presentation: The patient was a 26-year-old female with complain of severe abdominal and pelvic pain with significant weight loss. She had a history of surgery for correction of hydrometrocolpos (fluid accumulation in the uterus and vagina) because of transverse vaginal septum at infancy period. She had no gynecologic follow-up until the age of 26 years. At the last surgical evaluation, diffuse pelvic endometriosis with advanced metastatic colon cancer was noted.
Conclusion: After diagnosis of transverse vaginal septum during infancy period, detailed counseling should be performed about the other treatment and follow-up which is needed to prevent severe complications that could affect the quality of life.

Keywords


  1. Barber MD, Walters MD, Karram MM, Bradley C. Urogynecology and Reconstructive Pelvic Surgery. 5th London: Elsevier Health Sciences; 2015. p.49.
  2. Jones HW, Rock JA. TeLinde's Operative Gynecology. 11th Philadelphia: Wolters Kluwer Health; 2015. p.526.
  3. Mansouri R, Sander JC, Janzen NK, Dietrich JE. A Case of obstructed hemivagina with ectopic ureter leading to severe hydrocolpos and contralateral renal outflow tract obstruction in a neonate. J Pediatr Adolesc Gynecol 2015; 28(5):e131-3. doi: 10.1016/j.jpag.2014.10.008.
  4. Bischoff A, Levitt MA, Breech L, Louden E, Peña A. Hydrocolpos in cloacal malformations. J Pediatr Surg 2010; 45(6):1241-5. doi: 10.1016/j.jpedsurg.2010.02.097.
  5. Shaked O, Tepper R, Klein Z, Beyth Y. Hydrometrocolpos--diagnostic and therapeutic dilemmas. J Pediatr Adolesc Gynecol 2008; 21(6):317-21. doi: 10.1016/j.jpag.2007.12.011.
  6. Ramphul M, Perry L, Bhatia C. Neonatal imperforate hymen with hydrocolpos. BMJ Case Rep 2016; 2016:bcr2016215434. doi: 10.1136/bcr-2016-215434.
  7. Višnjić S, Bastić M, Marčec M, Mesić M. Short-term "double natural orifice catheterization": Nonoperative management of hydrocolpos in persistent cloaca patients - case series. J Pediatr Surg 2018; 53(4):718-21. doi: 10.1016/j.jpedsurg.2017.06.014.
  8. Mirzaei M, Daneshpajooh A. Urinary presentations of a posttraumatic vaginal septum in a 14-year-old girl. Turk J Urol 2018; 44(5):441-4. doi: 10.5152/tud.2018.28566.
  9. Dogan A, Uyar I, Demirtas GS, Ekin A, Gulhan I, Ertas IE, et al. Urinary incontinence in puberty: a rare clinical presentation of the herlyn-werner-wunderlich syndrome. J Pediatr Adolesc Gynecol 2016; 29(6):e101-3. doi: 10.1016/j.jpag.2016.07.013.
  10. Williams CE, Nakhal RS, Hall-Craggs MA, Wood D, Cutner A, Pattison SH, et al. Transverse vaginal septae: management and long-term outcomes. BJOG 2014; 121(13):1653-8. doi: 10.1111/1471-0528.12899.