Published: 2017-10-28

Acquired vaginal stenosis following caesarean delivery: a case report

Chandana Ray Das, Alakananda ., Rakhi Bora, Bonani Das


Postpartum genital tract adhesions are infrequent and their reason has not been appraised. Though, severe dystocia and frequent pelvic examinations have been projected as possible causes. Here, we report a case of vaginal adhesions following caesarean section for obstructed labour that presented as irregular menstruation with desire to remove the PPIUCD. The patient was successfully treated with surgical resection.


Adhesion, Infection, Stenosis, Vagina

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Arowojolu AO, Okunlola MA, Adekunle AO, Ilesanmi AO. Three decades of acquired gynaetresia in Ibadan: clinical presentation and management. J Obstet Gynecol. 2001 Jul;21(4):375-8.

Ugburo AO, Fadeyibi IO, Oluwole AA, Mofikoya BO, Gbadegesin A, Adegbola O. The epidemiology and management of gynatresia in Lagos, southwest Nigeria. Int J Gynecol Obstet. 2012 Sep 30;118(3):231-5.

Seehusen DA, Earwood JS. Postpartum labial adhesions. J Am Board Fam Med. 2007 Jul 1;20(4):408-10.

Sharma B, Arora R, Preston J. Postpartum labial adhesions following normal vaginal delivery. J Obstet Gynecol. 2005;25:215.

Kim HM, Bae JY, Cho YJ, Kim MJ, Cha HW, Seong WJ. Vaginal adhesions in a woman with the history of dystocia. Obstet Gynecol Sci. 2014;57(2):180.

Zahran KM, Eldin WS. Pinhole Vagina Following Mismanaged Vaginal Delivery. J Gynecol Surg. 2010 Dec 1;26(4):267-70.

Graziottin A. Iatrogenic and post-traumatic female sexual disorder. Sexual Medicine S. 2006:351.

Rashid M, Rashid M. Accidental delivery of a baby during a caesarean section through a vaginal incision (a laparoelytrotomy). BMJ case reports. 2010 Jan 1;2010:bcr0720103135.

Rathod S, Samal SK. Secondary vaginal atresia treated with vaginoplasty using amnion graft: a case report. J Clin Diagn Res. 2014 Nov;8(11):OD05-6