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Intro: Transverse vaginal septum is a type of Mullerian anomaly that results from failed fusion of the vaginal plate and mullerian ducts causing complete or partial blockage of the vaginal canal. Aims and objectives: This poster presents a review of the clinical features, diagnostic approaches and management of transverse vaginal septum. Materials and methods: We report a case of 26year old female married for 3years, who presented with intense dyspareunia. On per speculum examination, vagina was completely obstructed 2.5cm from the hymen with perforator in the septa. USG showed a transverse septum of 5.5mm in thickness. On MRI, a linear T2 hypointense band in the lower 1/3rd vaginal junction at a distance of 3.5cm from the introitus was seen confirming the diagnosis. The patient underwent septal resection and vaginal reconstruction was done. Results: The patient underwent examination under anaesthesia which revealed low vaginal septum with micro perforation. Transverse incision was taken at the level of the perforator and flaps were created anteriorly and posteriorly which were then anastomosed with the proximal and the distal end of the vagina and reconstruction done. Patient is free from symptoms of dyspareunia at 8month follow-up. Conclusion: Transverse vaginal septum is a rare Mullerian anomaly. Patients with perforated low transverse vaginal septum can be asymptomatic until adolescent or become sexually active and may only present with infertility or intense dyspareunia. Therefore, an accurate assessment of the characteristics of the septum, including its location, thickness and presence of perforator is crucial for selecting appropriate treatment.