Isolated longitudinal vaginal septum in a 16-year-old adolescent: Case Report
DOI:
https://doi.org/10.36097/rsan.v1i64.3585Keywords:
Congenital anomaly, Müllerian duct, Vaginal hemorrhage, Surgical procedure, Longitudinal vaginal septumAbstract
Müllerian development anomalies encompass a heterogeneous group of congenital malformations of the female reproductive tract, resulting from failures in the fusion, canalization, or resorption of the Müllerian ducts. Among them, the longitudinal vaginal septum (LVS) is a rare entity characterized by the partial or complete division of the vaginal cavity into two compartments. Diagnosis can be challenging due to its frequently asymptomatic course or delayed presentation with dysmenorrhea, dyspareunia, or obstetric complications. This report describes the case of a 16-year-old adolescent who was presented with abnormal uterine bleeding and loss of consciousness following recent onset of sexual activity. Clinical evaluation and gynecological ultrasound revealed an incomplete LVS with tearing and intracavitary debris. An emergency surgical procedure was performed, including uterine curettage, vaginal repair, and septum resection, with a favorable postoperative course and no anatomical sequelae. LVS requires a multidisciplinary approach integrating clinical assessment, imaging studies—preferably magnetic resonance imaging, which is considered the diagnostic gold standard—and individualized surgical treatment. Timely diagnosis is essential to prevent complications, preserve gynecological health, and improve the quality of life of affected patients.
Downloads
References
Asociación Médica Mundial. (2024). Declaración de Helsinki de la AMM: Principios éticos para las investigaciones médicas con participantes humanos. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
de França Neto, A. H., Nóbrega, B. V., Clementino Filho, J., do Ó, T. C., & de Amorim, M. M. (2014). Intrapartum diagnosis and treatment of longitudinal vaginal septum. Case reports in obstetrics and gynecology, 108973. https://doi.org/10.1155/2014/1089733
Dixit, R., Duggireddy, C. S., & Pradhan, G. S. (2025). Mullerian anomalies: revisiting imaging and classification. Insights into Imaging, 16(1), 40. https://doi.org/10.1186/s13244-024-01879-2
Bautista, G.E., Morales-García, V., Flores-Romero, A. L., Osorno, N. P., & Velásquez-Valdivia, A. (2012). Tabique vaginal transverso superior parcial y embarazo. Ginecología y Obstetricia de México, 80(07), 487-490. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=35318
Chanelles, O., Koskas, M., & Madelenat, P. (2009). Indications et techniques du traitement chirurgical des cloisons vaginales et utérines. En Mises à jour en Gynécologie et Obstétrique – Tome XXXIII (pp. 253 XXX). Collège National des Gynécologues et Obstétriciens Français. Présenté aux Trente-troisièmes Journées Nationales, Paris. https://cngof.fr/app/uploads/2023/06/2009_GO_253_chanelles.pdf
Cox, D., & Ching, B. H. (2012). Herlyn-Werner-Wunderlich syndrome: a rare presentation with pyocolpos. Journal of radiology case reports, 6(3), 9. https://doi.org/10.3941/jrcr.v6i3.877
Di Spiezio Sardo, A., Bettocchi, S., Bramante, S., Guida, M., Bifulco, G., & Nappi, C. (2007). Office Vaginoscopic Treatment of an Isolated Longitudinal Vaginal Septum: A Case Report. Journal of Minimally Invasive Gynecology, 14(4):512-5. https://doi.org/10.1016/j.jmig.2007.03.001.
Geng, B., St Martin, B., & Harmanli, O. (2024). Evaluation and Resection of a Longitudinal Vaginal Septum in an Adult. Journal of Minimally Invasive Gynecology, 31(5):367. https://doi.org/10.1016/j.jmig.2024.01.020.
Grimbizis, G. F., Campo, R., Gordts, S., Brucker, S., De Angelis, C., Gergolet, M., ... & Tanos, V. (2013). Clinical approach for the classification of congenital uterine malformations. Gynecological Surgery, 10(3), 199–212. https://doi.org/10.1007/s10397-012-0779-6
Hakim, S., Moegni, F., Mahendra, I. G. M., & Theresia, G. N. (2024). Longitudinal vaginal septum with normal uterus and cervix–A case report. International Journal of Surgery Case Reports, 117, 109536. https://doi.org/10.1016/j.ijscr.2024.109536.
Heinonen, P.K. (2006). Complete septate uterus with longitudinal vaginal septum. Fertil Steri, 85(3):700-5. https://doi.org/10.1016/j.fertnstert.2005.08.039.
Khalid, E., Jalil, S., Anwar, T., Nausheen, S. (2011). Congenital female lower genital tract abnormalities: two years’ experience in a tertiary care hospital. Pak J Surg, 27(1), 44-49. https://short.do/brG6Yd
Ludwin, A., Lindheim, S.R., Bhagavath, B., Martins, W.P., Ludwin, I. (2020). Longitudinal vaginal septum: a proposed classification and surgical management. Fertil Steril, 114(4):899-901. https://doi.org/10.1016/j.fertnstert.2020.06.014.
Martínez Velasco, I. G., Jiménez López, R., Guillén González, M. A., Paniagua Martínez, F. A., Arciniega Mancilla, O., & Alcántara Román, E. V. (2024). Postcoital vaginal laceration: Review of cases and proposed approach. Ginecología y obstetricia de México, 92(4), 169-175. https://doi.org/10.24245/gom.v92i4.9230
Paul, P.G., Sudhakar, M., Shah, M., Chowdary, V.S., Paul, G. (2023). Vaginoscopic Management of OHVIRA (Obstructive Hemivagina and Ipsilateral Renal Agenesis). Journal of Minimally Invasive Gynecology, 30(5), 361-362. https://doi.org/10.1016/j.jmig.2023.02.007.
Sadler, T. W., Byrne, J., Imseis, H., & Tosney, K. (2010). Langman embriología médica. Wolters Kluwer Health.
Valdés Valdés, A., Pérez Núñez, H.M., García Rodríguez, R.E., & López Gutiérrez, A. (2010). Embriología humana. Editorial Ciencias Médicas,
World Health Organization. (2009). Implementation manual: WHO Surgical Safety Checklist — Safe surgery saves lives. https://www.who.int/publications/i/item/9789241598590
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Ariel Alexander Gallardo Revilla, Verónica de Lourdes Villamar Villarreal, Miguel Jacob Ochoa-Andrade
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
