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Secondary vaginal atresia following caesarean section: an unreported entity
  1. Pruthwiraj Sethi,
  2. Girija Shankar Mohanty and
  3. Supriya Kumari
  1. Obstetrics and Gynaecology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India
  1. Correspondence to Dr Girija Shankar Mohanty; mohantygirija29{at}gmail.com

Abstract

Postpartum genital tract adhesions are infrequent and exact incidence is not reported. Severe dystocia, obstructed labour and frequent pelvic examinations have been proposed as possible causes of vaginal adhesion following vaginal delivery. Atresia/adhesions of vagina following caesarean section is very rare. Here, we report a rare case of 21-year-old P1L1 woman presenting with secondary amenorrhoea associated with cyclical abdominal pain following caesarean section. Per speculum examination showed a blind vagina with no communication with the upper one-third. We created a neovagina after adhesiolysis. We hope to increase the awareness of the obstetricians around the globe about postpartum genital tract adhesion, which may even occur as a rare secondary complication of caesarean section. We also wish to bring to the light of obstetricians that numerous pelvic examinations or difficult vaginal delivery may lead to genital tract trauma, and thus, must be minimised in an attempt to prevent postpartum genital tract adhesions.

  • pain
  • reproductive medicine
  • obstetrics
  • gynaecology and fertility

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Footnotes

  • Contributors All authors were involved in the diagnosis and management of the case. Planning of this case report was done by SK. Conduct of this case was taken up by PS. Reporting of this case report is being done by GSM. Conception and design of this case report is done by PS and SK. Acquisition of data for this case report was done by GSM. The manuscript has been read and approved by all the authors, the requirements for authorship as stated earlier in this document have been met, and each author believes that the manuscript represents honest work.

  • 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.

  • Patient consent for publication Obtained.

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

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