PMC7718141_01
Transverse septum obstructing the vagina.
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The vagina examination found a vagina totally obstructed by a transverse septum in the form of a vaginal diaphragm 1 cm from the hymen (Fig. 1).
Suprapubic ultrasound image showing the haematocolpos in the form of a large anechogenic mass.
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Pelvic and perineal ultrasound found a normal sized uterus with a large haematocolpos of 10 x 12 cm with the presence of a low transverse vaginal septum located 1 cm thick (Fig. 2).
Haematocolpos drainage after incision of the transverse spetum of the vagina.
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The treatment consisted of making a transverse incision, who was performed bu junior resident with 5 years of specialised training, in the centre of the transverse septum of the vagina, draining the hematocolpos (Fig. 3) and visualising the cervix.
The final result obtained after suturing the edges of the incision.
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A circumferential excision of the septum was made and the remaining vaginal edges were then sutured by a simple tarring of the entire circumference with Vicryl 2.0 (Fig. 4).