Traumatic recto-vaginal fistula in two patients with congenital vaginal septum: a case report

Congenital vaginal septum is a rare form of genital tract anomaly. It presents with dyspareunia, dysmenorrhoea or primary amenorrhoea associated with hematometra and hematocolpos. Others may be asymptomatic, with the anomaly being found during routine pelvic examination. This case study presents two patients with congenital vaginal septae, who developed traumatic recto-vaginal fistulae. The first patient had two incomplete longitudinal vaginal septae, incidentally discovered during repair of a recto-vaginal fistula that had developed following sexual assault. The second patient developed a recto-vaginal fistula following repair of a transverse vaginal septum.

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Uterine Didelphys with Transverse Vaginal Septum – A Complex rare Müllerian anomaly

Acta medica Lituanica ◽

10.15388/amed.2021.28.2.2 ◽

2021 ◽

Vol 28 (2) ◽

pp. 2

Author(s):

Dina Aisha Khan ◽

Nalini Sharma ◽

Anusmita Saha ◽

Rituparna Das ◽

Subrat Panda

Keyword(s):

Genital Tract ◽

Female Genital Tract ◽

Primary Amenorrhea ◽

Vaginal Septum ◽

Primary Amenorrhoea ◽

Transverse Vaginal Septum ◽

Mullerian Anomaly ◽

Lateral Fusion ◽

Mri Evaluation

During the development of the female genital tract, any insult to the normal development process results in a set of intriguing abnormalities known as Müllerian duct abnormalities. The uterine didelphys is the second least common type of anomaly among these, which may commonly be associated with a longitudinal vaginal septum (lateral fusion defect). However uterine didelphys along with a transverse vaginal septum (lateral fusion plus resorption defect) is a very rare finding and to the best of our knowledge, thecase that we hereby report is the second one in literature.A 16-year-old unmarried girl presented with primary amenorrhoea and cyclical pain for 18months.On clinical examination and imaging, a case of uterine didelphys and transverse vaginal septum was found. Her urinary tract was normalon USG and MRI evaluation. Excision of the septum was done by abdomino-vaginal approach. The patient was discharged well.We conclude that a patient presenting with primary amenorrhea especially with cyclical dysmenorrhea with a transverse vaginal septum on examination should be thoroughly investigated for associated upper genital tract abnormalities as the treatment strategy and prognosis is largely dependent on the correct classification of the anomaly.

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Pregnancy In An Untreated Case of Tranverse Vaginal Septum with Urethrovaginal Fistula: A Case Report and Review of the Literature

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v24i2.8532 ◽

1970 ◽

Vol 24 (2) ◽

pp. 71-74

Author(s):

Rafat Nawaz

Keyword(s):

Case Report ◽

Married Woman ◽

Vaginal Fistula ◽

Review Of The Literature ◽

Urethrovaginal Fistula ◽

Vaginal Septum ◽

Untreated Case ◽

Transverse Vaginal Septum ◽

The Dead ◽

Foetal Movement

A 17 years old married woman presented at 24 weeks pregnancy with absent foetal movement for 12 days. She was found to have transverse vaginal septum in the lower third of her vagina with urethro-vaginal fistula (UVF) and a dead foetus of approximately 24 weeks gestation. She underwent hysterotomy for the delivery of the dead foetus. Two and half months later the transverse vaginal septum was removed with repair of urethro-vaginal fistula. Bangladesh J Obstet Gynaecol, 2009; Vol. 24(2) : 71-74 DOI: http://dx.doi.org/10.3329/bjog.v24i2.8532

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Impact of poor evidence management on DNA profiling in sexual assault and homicide: A case report

Medico-Legal Journal ◽

10.1177/0025817220966487 ◽

2021 ◽

pp. 002581722096648

Author(s):

Naresh Kumar ◽

Pooja Puri ◽

SK Shukla ◽

Deepa Verma

Keyword(s):

Case Report ◽

Sexual Assault ◽

Dna Profiling ◽

Sexual Assaults ◽

Criminal Cases ◽

Her Family ◽

Female Victims ◽

Vaginal Swabs ◽

Biological Evidence

Increasing numbers of female victims of violent sexual assaults are being murdered with the aim of concealing the identity of the perpetrator. Proper handling and analysis of evidence is very important in gaining a conviction in many criminal cases. After evidence is collected, due precautions must be taken to ensure that the integrity of the sample is maintained, and chances of contamination are minimised. This paper presents a case study where improper handling of biological evidence led to loss of evidentiary value, and the semen could not be located on the vaginal swabs and victim’s garments due to improper preservation of samples. However, the DNA from the nail of a decomposed finger helped identify the victim, and the suspect was apprehended based on the clues given by her family.

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Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0038-1670714 ◽

2018 ◽

Vol 40 (10) ◽

pp. 642-646

Author(s):

Gennaro Scutiero ◽

Pantaleo Greco ◽

Piergiorgio Iannone ◽

Giulia Bernardi ◽

Francesca Greco ◽

...

Keyword(s):

Surgical Treatment ◽

Genital Tract ◽

Cultural Beliefs ◽

Foley Catheter ◽

Female Genital Tract ◽

Vaginal Septum ◽

Menstrual Flow ◽

Transverse Vaginal Septum ◽

Female Genital

AbstractTransverse vaginal septum is a rare female genital tract anomaly, and little is described about its surgical treatment. We report the case of a patient who wished to preserve hymenal integrity due to social and cultural beliefs. We performed a vaginoscopic resection of the septum under laparoscopic view, followed by the introduction of a Foley catheter in the vagina, thus preserving the hymen. After 12 months of follow-up, no septal closure was present, and the menstrual flow was effective. Vaginoscopic hysteroscopy is an effective method of vaginal septum resection, even in cases in which hymenal integrity must be preserved due to social and cultural beliefs.

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