A ‘never before’ presentation of a common Mullerian abnormality

Bindu Bajaj, Sunil Kumar Bajaj, Sunil Kumar Bajaj, Harsha S. Gaekwad, Harsha S. Gaekwad, Ritu Misra, Ritu Misra

Abstract


Transvaginal septum is one of uncommon Mullerian anomalies which may lead to infertility. We all depend so often on HSG and MRI for investigating these infecund patients. Here we bring out how a distended vaginal cavity with contrast mimicked the uterine cavity on HSG misleading the clinician. The septum was missed on MRI too initially. A simple surgical correction and the patient was able to conceive in her very first cycle.

Keywords


Mullerian anomalies, High transvaginal septum, Infertility

Full Text:

PDF

References


Delaunay. Etude sur le cloisonnement tranversal du vagin complet et incomplete d’origine congenital. Paris: Thesis; 1977.

Lodi A. Contributo clinic statastico sulle malformazioni dell vagina osservate nella clinica obstetrica e glinecologica di milano dal 1906 al 1950. Ann Obstet Gynecol. 1951;73:1246.

Wenof M, Reyniak JV, Novendestern J, Castadot MJ. Transverse vaginal septum. Obstet Gynecol. 1971;54:326.

Polasek PM, Erikson LD, Stanhope CR. Transverse vaginal septum associated with tubal atresia. Mayo Clin Proc. 1995;70:965-8.

Tommaso Falcone, William W. Hurd. The septum. In: Tommaso Falcone, William W. Hurd, eds. Clinical Reproductive: Medicine and Surgery. 7th ed. Philadelphia, PA, USA: Mosby Elsevier, JF Keneddy Blvd, Ste; 2007.

McKusick VA. Transverse vaginal septum (hydrometrocolpos). Birth Defects Orig Artic Ser. 1971;7:326-7.

Kenneth L. Becke. Amish descent. In: Kenneth L. Becke, eds. Principles and Practice of Endocrinology and Metabolism. Philadelphia, PA, USA: Lippincott Williams & Wilkins; 2001: 869.

Rock JA, Zacur HA, Dlugi AM, Jones HW Jr, TeLinde RW. Pregnancy success following surgical correction of imperforate hymen and complete transverse vaginal septum. Obstet Gynecol. 1982;59:448.