Vaginal adhesions in a woman with the history of dystocia

Hyun Mi Kim1, Jin Young Bae1, Yoo Jin Cho1

  • 1Department of Obstetrics and Gynecology, Kyungpook National University Hospital, Kyungpook University School of Medicine, Daegu, Korea.

Postpartum genital tract adhesions are unusual, and their cause has not been evaluated. However, severe dystocia and numerous pelvic examinations have been suggested as possible causes. Here, we report a case of vaginal adhesions following a difficult labor that presented as dyspareunia for 5 months. Pelvic examination and ultrasonography revealed a transverse vaginal septum that obstructed the vaginal cavity, and fluid collection proximal to this septum. The patient was successfully treated with surgical resection and administration of antibiotics.

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