An Interesting Case of Term Pregnancy with Asymptomatic Transverse Vaginal Septum

Abstract

A transverse vaginal septum is a rare congenital anomaly of the reproductive tract that can be a result of faulty canalization, fusion, and resorption of Müllerian ducts. It could be a complete obstructive septum found at the time of menarche, similar to an imperforate hymen. It can also present as a transvaginal septum having an eccentric tiny hole, giving an impression of a vaginal vault without a cervix. A 27-year-old primigravida presented at 39 weeks and 5 days of gestation in labor. On per speculum examination, a mid-vaginal septum with an eccentric pinpoint opening was seen. The patient was taken for an emergency lower-segment cesarean section. Postoperatively, the mother and baby were both healthy.