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Successful pregnancy following acquired gynatresia

Amina Gambo Umar1, Yakubu Ahmed1, Jamila Abubakar Garba2

  • 1Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University, Sokoto, Nigeria.

Annals of African Medicine
|May 10, 2019
PubMed

Acquired gynatresia is a common gynecological condition in developing countries where puerperal complications and unskilled interventions prevail. A 23-year-old primipara who had spontaneous vaginal delivery complicated by gynatresia had vaginoplasty that failed due to erectile dysfunction in the spouse. She subsequently developed secondary amenorrhea and was relieved with dilatation and evacuation. She was planned for definitive surgery, however,she incidentally conceived with q pin-hole vagina. She was delivered of a live fetus at term via an elective cesarean section. This case is peculiar as spontaneous conception occurred with a pinhole opening. There is a need to adequately evaluate cases before definitive management to maximize success.

Keywords:
Acquired gynatresiaelective cesarean sectionpregnancy

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