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CASE REPORT
Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 63-64

Acquired vaginal stenosis with secondary infertility; A rare complication of traumatic PPH


Department of Gynecological Oncology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar, India

Correspondence Address:
Sangeeta Pankaj
Additional Professor, Gynecological Oncology, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-14, Bihar
India
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Source of Support: None, Conflict of Interest: None


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Secondary gynaetresia may occurs due to trauma to the female genital tract with secondary infection and adhesions. Post traumatic vaginal stenosis after full term vaginal delivery is rarely seen in gynaecological practise. We report a case of 25 years old women presenting with secondary infertility, scanty flow during menses and pain lower abdomen. On per speculum examination she was found to have vaginal septum. She had full term vaginal delivery 8 years back with history of traumatic post partum haemorrhage in the first delivery. Ultrasonography showed normal uterus, 7x4 cm right sided dermoid cyst. Laparotomy was done along with right oophorectomy. With help of combined abdomino-vaginal approach septum was incised horizontally. Continuous interlocking suture were taken at raw bleeding edge of vaginal septum to secure hemostasis.


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