TRANSVERSE VAGINAL SEPTUM ASSOCIATED WITH TUBAL ATRESIA

Transverse vaginal septum is a defect of vertical fusion during embryo genesis of the vagina, The estimated incidence is 1 per 30,000 to 84,0 00 women, It is infrequently associated with genitourinary tract, gast rointestinal tract, musculoskeletal, and cardiac malformations, Previo us reports of transverse vaginal septum have included unilateral absen ce of the fallopian tube and ovary and absence of the proximal portion of the fallopian tube. This report describes bilateral tubal atresia associated with a transverse vaginal septum. A 17-year-old nulligravid a sought medical assessment because of primary amenorrhea and cyclic p elvic pain, Physical examination revealed a blind vaginal pouch and a tender pelvic mass, Radiologic studies showed a transverse vaginal sep tum 1.5 cm distal to the cervix. The septum was resected with laparosc opic guidance, and bilateral fallopian tubal atresia was noted. The pe lvis was otherwise normal, Patients commonly have a pelvic or abdomina l mass, pain, and amenorrhea at time of expected menarche. Surgical re section is the treatment of choice, Postoperative dilation may be nece ssary to prevent restenosis. Outlook for pregnancy is encouraging desp ite a higher than normal incidence of spontaneous abortion and endomet riosis in such patients.