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



Eftekhar T1 ; Pourali L2 ; Ghanbari Z1 ; Pesikhani MD1 ; Chegini H3 ; Taghizadeh A4 ; Ayati E1 ; Darvish S5 ; Lotfi Z6
Authors
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Authors Affiliations
  1. 1. Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Obstetrics and Gynecology, Mashhad University of Medical Sciences, Mashhad, Iran
  3. 3. Tehran, Iran
  4. 4. Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  5. 5. Department of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. BC in Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Kerman University of Medical Sciences Published:2021


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. © 2021, Kerman University of Medical Sciences. All rights reserved.