A transverse vaginal septum can develop at any level in the vagina, presumably caused by failure of absorption of the tissue that separates the junction between the vaginal plate and the caudal end of the fused mullerian ducts, or by complete failure of fusion of these two embryologic components of the vagina. Reported incidences vary up to 1 in 72,000, with occurrence of 46% in the upper vagina, 35-40% in the midvagina, and 14-19% in the lower vagina. But what are the odds of having two vaginal septae? This report discusses a rare case of an adolescent presenting with the classic signs and symptoms of having a transverse vaginal septum, but on surgical correction was found to have not only one, but two vaginal septae.

Hematometrocolpos ; Transverse Vaginal Septum

Wunderlich-Herlyn-Werner syndrome is an uncommon but already well-established mullerian anomaly consisting of uterine didelphys, hemivaginal septum and ipsilateral renal agenesis. The discussion here would concentrate on the occurrence of foul-smelling vaginal discharge in some of these cases, its pathogenesis and its impact on generally-accepted assumptions on the embryogenesis of the mullerian system. Reported here are three such cases with discussions on the goals of therapy being relief of the obstructive symptoms, restoration of normal menstrual egress and sexual function, with preservation of reproductive potential.
UTERINE DIDELPHYS ; VAGINAL SEPTUM ; MULLERIAN ANOMALY