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The use of intraoperative ultrasonography in the surgical correction of a transverse vaginal septum

The use of intraoperative ultrasonography in the surgical correction of a transverse vaginal septum C. Edwards-Freeman, MD, H. K. Amin, MD, M. Abiri, MD, and P. B. S. Giustino, RDMS, To establish a normal reproductive ductal system, the mullerian ducts and the urogenital sinus must develop normally and progress in a n orderly fashion. With the disruption of this process, various anomalies can occur. The incidence of transverse vaginal septum is reportedly 1 in 2100 to 1 in 72,000,1 and results from failure of fusion between the mullerian ducts and the urogenital sinus. The resulting septum may occur in any portion of the vagina, but it is most common in the upper vagina, followed by the midportion and lower vagina.’ Depending on the completeness of the septum, patients may present with primary amenorrhea and hematocolpometra, or with dysmenorrhea andlor oligomenorrhea. Infrequently it may present for the first time as dystocia in labor.’ CASE REPORT A 21-year-old woman, gravida 1para 0, who was referred after a failed attempt at elective termination of pregnancy at 8 weeks, menstrual age, due to inability to visualize the cervix. An ultrasound examination showed a normal 8-week intrauterine pregnancy and identified the cervix. Menarche was at age 13; subsequently the patient had regular monthly menses lasting 5 days. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

The use of intraoperative ultrasonography in the surgical correction of a transverse vaginal septum

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References (7)

Publisher
Wiley
Copyright
Copyright © 1991 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870190110
Publisher site
See Article on Publisher Site

Abstract

C. Edwards-Freeman, MD, H. K. Amin, MD, M. Abiri, MD, and P. B. S. Giustino, RDMS, To establish a normal reproductive ductal system, the mullerian ducts and the urogenital sinus must develop normally and progress in a n orderly fashion. With the disruption of this process, various anomalies can occur. The incidence of transverse vaginal septum is reportedly 1 in 2100 to 1 in 72,000,1 and results from failure of fusion between the mullerian ducts and the urogenital sinus. The resulting septum may occur in any portion of the vagina, but it is most common in the upper vagina, followed by the midportion and lower vagina.’ Depending on the completeness of the septum, patients may present with primary amenorrhea and hematocolpometra, or with dysmenorrhea andlor oligomenorrhea. Infrequently it may present for the first time as dystocia in labor.’ CASE REPORT A 21-year-old woman, gravida 1para 0, who was referred after a failed attempt at elective termination of pregnancy at 8 weeks, menstrual age, due to inability to visualize the cervix. An ultrasound examination showed a normal 8-week intrauterine pregnancy and identified the cervix. Menarche was at age 13; subsequently the patient had regular monthly menses lasting 5 days.

Journal

Journal of Clinical Ultrasound – Wiley

Published: Jan 1, 1991

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