Premenarchal, recurrent vaginal discharge associated with an incomplete obstructing longitudinal vaginal septum.
OBJECTIVE
To describe an unusual, premenarchal presentation of an obstructive vaginal anomaly.


METHODS
Case Report.


METHODS
University Medical Center.


METHODS
Premenarchal subject


METHODS
Vaginogram, vaginal septum resection.


RESULTS
Vaginal septum resection with resolution of vaginal discharge.


CONCLUSIONS
This case demonstrates some of the typical features of uterus didelphys bicollis with incomplete obstructing hemivagina, but had a unique presentation with premenarchal, recurrent vaginal discharge. Typically, patients with an obstructing mullerian anomaly present after menarche with pelvic pain and a mass. The vaginogram assists in the preoperative definition of abnormal anatomy which allows the surgeon to develop the most appropriate surgical approach. Resection of this incompletely obstructing vaginal septum resulted in resolution of the recurrent vaginal discharge.
Hansen
Keith A
KA
Department of Obstetrics and Gynecology, University of South Dakota School of Medicine, Sioux Falls, South Dakota 57105, USA. khansen@usd.edu
DeWitt
Jason
J
D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D012008:Recurrence; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities*; D019522:Vaginal Discharge / Q000209:etiology*