Vaginal adhesions in a woman with the history of dystocia

Obstet Gynecol Sci. 2014 Jan;57(1):70-2. doi: 10.5468/ogs.2014.57.1.70. Epub 2014 Jan 16.

Abstract

Postpartum genital tract adhesions are unusual, and their cause has not been evaluated. However, severe dystocia and numerous pelvic examinations have been suggested as possible causes. Here, we report a case of vaginal adhesions following a difficult labor that presented as dyspareunia for 5 months. Pelvic examination and ultrasonography revealed a transverse vaginal septum that obstructed the vaginal cavity, and fluid collection proximal to this septum. The patient was successfully treated with surgical resection and administration of antibiotics.

Keywords: Dystocia; Postpartum; Tissue adhesions; Vagina.

Publication types

  • Case Reports