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Pregnancy and transvaginal septation
E B Fritz1, S J Carlan, L Greenbaum
1Department of Obstetrics and Gynecology, Fetal Diagnostic Center, Arnold Palmer Hospital for Children and Women, Orlando, Florida, USA.
Summary
Women with imperforate transverse vaginal septum often face primary amenorrhea and infertility. This case highlights a rare instance of a short cervix in such patients, necessitating transabdominal cerclage during pregnancy.
Area of Science:
- Reproductive medicine
- Gynecology
- Obstetrics
Background:
- Imperforate transverse vaginal septum is a rare congenital anomaly typically presenting in adolescence with primary amenorrhea.
- Surgical correction is the standard treatment for this condition.
- Pregnancy in affected individuals is linked to increased spontaneous abortion rates.
Observation:
- This report details a unique case of a patient with a high transverse vaginal septum and a concurrently short cervix.
- The patient required a transabdominal cerclage procedure.
Findings:
- While imperforate transverse vaginal septum is associated with pregnancy complications like spontaneous abortion, a short cervix has not been previously reported in this context.
- This case introduces a new potential complication associated with this vaginal anomaly.
Implications:
- The findings suggest that women with imperforate transverse vaginal septum may require careful cervical assessment during pregnancy.
- Transabdominal cerclage could be a viable option for managing cervical insufficiency in this patient population.
- Further research is warranted to understand the association between transverse vaginal septum and cervical length.