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Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Number 09

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Ginecol Obstet Mex 2021; 89 (09)

Middle transverse vaginal septum: Vaginal delivery after surgical correction and vaginal dilation during pregnancy in a case with previous abortion

López-Carpintero N, Martínez-Shaw M, Medina-Garrido C, Alvir-Álvaro Á

Language: Spanish
References: 16
Page: 742-747
PDF size: 229.04 Kb.


ABSTRACT

Background: The transverse vaginal septum is a rare failure of vaginal embryogenesis. It has been associated with infertility, obstetric complications and recurrence. Cases of vaginal delivery after surgery are scarce.
Objective: To describe a case of gestation in the early postoperative period which culminates in vaginal delivery after vaginal dilation during pregnancy.
Clinical case: A transverse vaginal septum was incidentally found in the patient during the diagnosis of an abortion. An aspiration curettage was carried out through the fenestration of the septum, performing a double-cross plasty 12 weeks later. Surgery was scheduled after diagnostic confirmation by ultrasound and Magnetic Resonance Imaging. In the early postoperative period, the patient got pregnant again, carrying out a close follow-up with training in vaginal dilatation. Gestation culminated in a vaginal delivery without subsequent recurrence.
Conclusion: Scheduled double-cross plasty with constant vaginal dilation, along with the gestation itself, could diminish the complications associated to the transverse vaginal septum.


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