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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
LOPEZ-CARPINTERO, Nayara; MARTINEZ-SHAW, Marina; MEDINA-GARRIDO, Carola and ALVIR-ALVARO, Álvaro. Middle transverse vaginal septum: Vaginal delivery after surgical correction and vaginal dilation during pregnancy in a case with previous abortion. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.9, pp.742-747. Epub Apr 04, 2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v89i9.5295.
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.
Keywords : Vagina; Vaginal embryogenesis; Gestation; Posoperative period; Vaginal delivery; Abortion; Dilatation; Follow-Up studies; Ultrasonpography.
