PMC4576003_01
Noncommunicable vaginal septum
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On exam, patient had a noncommunicating, thick vaginal septum (Figure 1); however patient and her husband were not aware of the patient condition until that day.
More tear of vaginal septum as patient continues to push and fetal head descends down.
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Vaginal septum started to tear with descent of fetal head and maternal pushing through the process of delivery (Figure 2).
Patient was taken to operating room for removal of retained placenta; 2 separated cervices at 2 o'clock (postpartum cervix) and 7 o'clock (nonpregnant cervix) as well as completely torn vaginal septum (at 11 o'clock) are shown. Note that vaginal septum was completely destructed as fetal head delivered.
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Picture from the operating room shows two cervices next to each other (Figure 3).
MRI of abdomen and pelvis with contrast: Series # 5, T2 axial FS: one cervix on the right and one cervix on the left, 2 separate cervices.
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MRI of abdomen and pelvis with contrast: Series # 4 coronal FS (Fast): right uterus and left bulky postpartum uterus.
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