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VOLUME 2 , ISSUE 2 ( April-June, 2018 ) > List of Articles


Eluding Cervix: A Case Report of Transverse Vaginal Septum in Labor

Jasmine S Abraham, Nerale V Manjula

Keywords : Congenital vaginal anomaly, Labor, Partial transverse vaginal septum, Septal thickness

Citation Information : Abraham JS, Manjula NV. Eluding Cervix: A Case Report of Transverse Vaginal Septum in Labor. World J Anemia 2018; 2 (2):71-73.

DOI: 10.5005/jp-journals-10065-0035

License: CC BY-NC 4.0

Published Online: 01-09-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Aim: To highlight the complications of partial transverse vaginal septum. Background: The transverse vaginal septum is one of the rarest anomalies of the female genital tract with an incidence of 1:70,000 women. Most often the diagnosis of the partial transverse vaginal septum is first made in labor. In an inexperienced hand, the partial transverse vaginal septum can be initially mistaken as a well effaced and partially dilated OS. Case discussion: A 22-year-old unbooked primigravida, presented at 38 weeks in latent labor. On examination, her gestational age corresponded to term, fetus in cephalic position. Fetal heart rate 140–150/minutes. Per vaginal examination raised suspicion of the partial transverse vaginal septum as the finding was a blind pouch with 1 cm aperture and consistency of septum differed from the effaced cervix. Cervix could not be separately felt. Speculum examination revealed a transverse septum at upper one-third of the vagina with a central opening of 1–2 cm. The patient was reevaluated in active labor, and the septum felt thick, she was posted for emergency LSCS to prevent extensive vaginal lacerations or obstructed labor. Postoperative period she was reexamined and it revealed a blind pouch with a central opening, anterior lip of cervix was seen partially through the aperture. Lochia was draining through the opening. Uterus involuted in two weeks. Conclusion: Antenatal assessment of septal thickness by trans vaginal sonography can aid in planning the mode of delivery. Women with thin transverse vaginal septum can safely undergo a trial of labor. Diagnosis of the thick partial transverse vaginal septum is necessary to prevent the patient from having extensive vaginal lacerations or obstructed labor by posting for emergency LSCS.

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  1. Hoffman, Schorge, Schaffer, Halvorson, Cunningham. William's Gynecology. 2nd ed. McGraw-Hill; 2012, pp. 493-494.
  2. Slavotinek A, Searby C, Al-Gazali L, Hennekam R, Schrander- Stumpel C, Orcana-Losa M, et al. Mutation analysis of the MKKS gene in McKusick-Kaufman syndrome and selected Bardet-Biedl syndrome patients. Human Genetics 2002 Jun 1;110(6):561-567.
  3. Jones HW. Reproductive impairment and the malformed uterus. Fertility and Sterility 1981;36(2):137-148.
  4. Congenital anomalies. Nagrath A, Malhotra M., editors. A color atlas of Longitudinal and Transverse vaginal septum. Vol. 31. Jaypee ; p 69.
  5. Ahmed S, Morris LL, Atkinson E. Distal mucocolpos and proximal hematocolpos secondary to concurrent imperforate hymen and transverse viginal septum. Journal of Pediatric Surgery 1999 Oct 1;34(10):1555-1556.
  6. Malhotra V, Bhuria V, Nanda S, Chauhan MB, Dahiya P. Transverse Vaginal Septum in Labor. Journal of Gynecologic Surgery [Internet]. Mary Ann Liebert Inc; 2013 Aug;29(4): 207–209.
  7. Türkçapar F, Öksüzoðlu A, Hançerlioðlu N, Uður M, Danýþman N. Transverse Upper Vaginal Septum Obstructing Labor: A Case Report. Gynecology Obstetrics & Reproductive Medicine 2012 Apr 6;18(1).
  8. Blanton EN, Rouse DJ. Trial of labor in women with transverse vaginal septa. Obstetrics & Gynecology. 2003 May 1;101(5):1110-1112.
  9. Üstün Y, Üstün YE, Zeteroðlu Þ, Þahin G, Kamacý M. A Case of Transverse Vaginal Septum Diagnosed During Labor. Erciyes Medical Journal 2005;27(3):136-138.
  10. Caloia DV, Morris H, Rahmani MR. Congenital transverse vaginal septum: vaginal hydrosonographic diagnosis. Journal of Ultrasound in Medicine 1998 Apr;17(4):261-264.
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