Comment je fais … une évacuation d’hématocolpos avec résection d’hémivagin borgne

Surgical management of a transverse vaginal septum: About a rare case

“…In the case of the presence of a diaphragm with complete menstrual retention, it will be necessary to perform an urgent rapid incision of the vaginal membrane in order to be able to evacuate a hematocolpos more or less associated with hematometry and hematosalpinx. Surgical restorative treatment must be carried out in a second step in order to recover an almost normal upstream vaginal cavity [ 1 ].…”

“…This anomaly will divide the vagina into two segments, reducing it to its functional part. The vaginal septum can be permeable or impermeable and can affect all levels of the vagina [ 1 ]. The vaginal septum have a variable thickness, greater when higher up, especially at the level of their insertion base, but always less than one centimeter.…”

“…Their seat is also variable: slightly above the hymen or in the upper third of the vagina, often surmounted by a narrow vaginal vault, funnel-shaped, devoid of real vaginal cul-de-sac. The transverse partitions can be multiple and staged [ 1 , 2 ]. The work has been reported with respect to the SCARE 2020 criteria [ 3 ].…”