Vaginal delivery in case of isolated longitudinal vaginal septum: an uncommon situation: a case report

Abstract

The longitudinal vaginal septum corresponds embryologically to a lack of resorption of the lower part of the Mullerian canals. It is often associated in varying proportions with other genital anomalies. Isolated vaginal partitions are non-frequent. This is a case report of a 19-year-old patient in labor of delivery with a history of dyspareunia during sexual intercourse who was diagnosed after examination of having a longitudinal complete vaginal septum. A successful vaginal delivery was done with a ligature and section of the septum completed by its total resection after the delivery. The post-partum monitoring was good and the assessment of patient’s sexual life quality was better than before the delivery due to the removal of the septum and the absence of pain during intercourse. The discovery of longitudinal vaginal septum during delivery labor is not a formal indication of caesarean. Vaginal delivery is possible with a good management of the situation.