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Successful pregnancy outcome after septum resection and use of amnion graft in patient with high transverse vaginal septum
  1. Rubina Sohail1,2,
  2. Aisha Malik2,
  3. Afroze Ashraf2 and
  4. Shahlla Kanwal1
  1. 1 Obstetrics and Gynaecology, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan
  2. 2 Obstetrics and Gynaecology, Hameed Latif Hospital, Lahore, Punjab, Pakistan
  1. Correspondence to Professor Rubina Sohail, rubina95{at}


A 20-year-old woman recently married presented to the outpatient department of the hospital, with primary amenorrhea and difficulty in having coitus. Her height was 155 cm, breast development was normal for age, and other secondary sexual characters seemed normal. On local examination, external genitalia was normal looking, and there was no vaginal discharge. She had a blind vagina of 2 cm length. The ultrasound showed a normal-sized uterus and ovaries seemingly normal. Hormonal profile comprising serum follicle-stimulating hormone, luteinising hormone, prolactin and thyroid stimulating hormone were all within normal limits. Karyotyping was done, which showed a 46,XX pattern. The patient underwent vaginal surgery during which septum resection was done, and amnion grafting was performed to prevent stricture formation. The patient resumed successful coitus 3 months after surgery. There was no discomfort on coitus. She conceived 7 months later. Following this, the patient delivered a healthy baby boy through caesarean section at term.

  • pregnancy
  • plastic and reconstructive surgery

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  • Contributors RS and SK wrote the manuscript. AM and AA contributed to case management.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.