Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum

Transverse vaginal septum (TVS) is a particularly rare vaginal anomaly, and diagnosis is often difficult in a genital examination. We herein present a case of perforated TVS for which successful diagnosis and treatment were achieved using a new technique referred to as saline infusion sonocolpograph...

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Main Authors: Ayumi Ono, Iori Kisu, Tomoko Iijma, Hiroshi Senba, Kiyoko Matsuda, Motoko Katayama, Ayaka Iura, Yumiko Miura, Nobumaru Hirao
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2019/6738380
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author Ayumi Ono
Iori Kisu
Tomoko Iijma
Hiroshi Senba
Kiyoko Matsuda
Motoko Katayama
Ayaka Iura
Yumiko Miura
Nobumaru Hirao
author_facet Ayumi Ono
Iori Kisu
Tomoko Iijma
Hiroshi Senba
Kiyoko Matsuda
Motoko Katayama
Ayaka Iura
Yumiko Miura
Nobumaru Hirao
author_sort Ayumi Ono
collection DOAJ
description Transverse vaginal septum (TVS) is a particularly rare vaginal anomaly, and diagnosis is often difficult in a genital examination. We herein present a case of perforated TVS for which successful diagnosis and treatment were achieved using a new technique referred to as saline infusion sonocolpography. A 32-year-old female presented with primary infertility. Speculum examination revealed a blind vaginal canal with two pinpoint perforating holes. Foley catheters with inflated balloon were inserted into the two apertures, and then normal saline was injected through the catheters to distend the vaginal pouch. This procedure of saline infusion sonocolpography revealed the uterine cervix and vaginal pouch and permitted diagnosis of perforated TVS of the upper vagina. The septum was excised and a normal cervix was ascertained. The patient had no complication such as agglutination of the vagina postoperatively. This case suggests that saline infusion sonocolpography may be useful for diagnosis and treatment of TVS.
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institution Kabale University
issn 2090-6684
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Obstetrics and Gynecology
spelling doaj-art-f1378aa292bd4339b0b6ca3a300467c82025-02-03T05:51:07ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/67383806738380Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal SeptumAyumi Ono0Iori Kisu1Tomoko Iijma2Hiroshi Senba3Kiyoko Matsuda4Motoko Katayama5Ayaka Iura6Yumiko Miura7Nobumaru Hirao8Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanDepartment of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, JapanTransverse vaginal septum (TVS) is a particularly rare vaginal anomaly, and diagnosis is often difficult in a genital examination. We herein present a case of perforated TVS for which successful diagnosis and treatment were achieved using a new technique referred to as saline infusion sonocolpography. A 32-year-old female presented with primary infertility. Speculum examination revealed a blind vaginal canal with two pinpoint perforating holes. Foley catheters with inflated balloon were inserted into the two apertures, and then normal saline was injected through the catheters to distend the vaginal pouch. This procedure of saline infusion sonocolpography revealed the uterine cervix and vaginal pouch and permitted diagnosis of perforated TVS of the upper vagina. The septum was excised and a normal cervix was ascertained. The patient had no complication such as agglutination of the vagina postoperatively. This case suggests that saline infusion sonocolpography may be useful for diagnosis and treatment of TVS.http://dx.doi.org/10.1155/2019/6738380
spellingShingle Ayumi Ono
Iori Kisu
Tomoko Iijma
Hiroshi Senba
Kiyoko Matsuda
Motoko Katayama
Ayaka Iura
Yumiko Miura
Nobumaru Hirao
Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum
Case Reports in Obstetrics and Gynecology
title Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum
title_full Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum
title_fullStr Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum
title_full_unstemmed Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum
title_short Application of Saline Infusion Sonocolpography in Diagnosis and Treatment of Perforated Transverse Vaginal Septum
title_sort application of saline infusion sonocolpography in diagnosis and treatment of perforated transverse vaginal septum
url http://dx.doi.org/10.1155/2019/6738380
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