Obstetrics & Gynecology Science  2014;57(1):70-72

doi:10.5468/ogs.2014.57.1.70

Vaginal adhesions in a woman with the history of dystocia.

Hyun Mi KIM 1 ; Jin Young BAE ; Yoo Jin CHO ; Mi Ju KIM ; Hyun Wha CHA ; Won Joon SEONG

Affiliations

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Keywords

Dystocia; Postpartum; Tissue adhesions; Vagina

Country

Republic of Korea

Language

English

Abstract

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.