Isolated longitudinal vaginal septum in a 16-year-old adolescent: Case Report

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.

• Tác giả chính: Gallardo Revilla, Ariel Alexander (author)
• Tác giả khác: Villamar Villarreal, Verónica de Lourdes (author), Ochoa-Andrade, Miguel Jacob (author)
• Định dạng: article
• Ngôn ngữ: spa
• Được phát hành: 2025
• Những chủ đề: Congenital anomaly; Müllerian duct; Vaginal hemorrhage; Surgical procedure; Longitudinal vaginal septum; Anomalía Congénita; Conducto Mülleriano; Hemorragia Vaginal; Procedimiento Quirúrgico; Tabique Vaginal Longitudinal
• Truy cập trực tuyến: https://revista.sangregorio.edu.ec/index.php/REVISTASANGREGORIO/article/view/3585