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Vaginal Synechiae in a Pregnant Woman With Past Surgery of Low Septum Resection: A Case Report Publisher



Pesikhani MD1 ; Ghanbari Z1 ; Vatanchi A2 ; Pourali L2
Authors
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Authors Affiliations
  1. 1. VALI-E-Asr Reproductive Health Research Center, Family Health Research Institue, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  3. 3. Department of Obstetrics and Gynecology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Current Women's Health Reviews Published:2025


Abstract

Introduction: Transverse vaginal septum is a rare mullerian anomaly. Patients with a complete transverse vaginal septum are diagnosed during menarche with symptoms of abdominal pain and amenorrhea. Here, we present a patient who underwent septal resection during puberty and was referred in pregnancy due to vaginal synechiae. Case presentation: The patient was a 40-year-old primigravid referred to the maternity department at 39 weeks of gestational age with labor pain and inability to perform a vaginal examination. She had a past surgical history of low vaginal septum at 13 years old. The vagina was completely obstructed. A thorough resection of the synechiae was performed along with a cesarean section to create a drainage path. Conclusion: It is important to consider a pregnant woman's history of Mullerian abnormalities. In these patients, due to the low frequency of intercourse and the conditions of progesterone dominance, there is a possibility of re-stenosis and the imposition of cesarean section. Paying attention to this possible complication and preventing it by using a dilator can be helpful. © 2024 Bentham Science Publishers.