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Case of longitudinal vaginal septum with pelvic organ prolapse.

Authors
  • Rajamaheswari, N1
  • Seethalakshmi, K
  • Gayathri, K B
  • 1 Department of Urogynecology, Institute of Social Obstetrics, Government Kasturba Gandhi Hospital, Madras Medical College, Triplicaine, Chennai, India. [email protected] , (India)
Type
Published Article
Journal
International urogynecology journal and pelvic floor dysfunction
Publication Date
Dec 01, 2009
Volume
20
Issue
12
Pages
1509–1510
Identifiers
DOI: 10.1007/s00192-009-0899-5
PMID: 19444369
Source
Medline
License
Unknown

Abstract

Longitudinal vaginal septum is a rare mullerian anomaly and its association with pelvic organ prolapse (POP) is unusual. A case of longitudinal vaginal septum with stage IV POP in a 35-year-old multiparous woman is being reported. Examination revealed an incomplete longitudinal vaginal septum (9 x 6 x 2 cm) with stage IV POP. Vaginal hysterectomy with repair and reconstruction was done along with excision of the longitudinal vaginal septum which was technically challenging due to proximity to rectum. This is the only case report of stage IV pelvic organ prolapse associated with a thick longitudinal vaginal septum in a multiparous woman without any obstetric complications. Surgery required increased caution per operatively while dissecting the septum from the vaginal wall and the adjacent organs.

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