title: Premenarchal, recurrent vaginal discharge associated with an incomplete obstructing longitudinal vaginal septum.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Dakota School of Medicine, Sioux Falls, South Dakota 57105, USA. khansen@usd.edu
authors.forename: Keith A
authors.initials: KA
authors.lastname: Hansen
authors.forename: Jason
authors.initials: J
authors.lastname: DeWitt
mesh_terms: 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*