Fetocolpos- A Rare Case of Transverse Vaginal Septum with Trapped Aborted Fetus

Transverse vaginal septum is the result of faulty canalization of the embryonic vagina. We describe a very rare of perforate transverse vaginal septum was diagnosed during second pregnancy in abortion phase. A 24 yr old women with lactational amenorrhoea of 8 months presented to our obstetric emergency department with severe pain in lower abdomen. In obstetric history, she had undergone emergency caesarean section for vaginal atresia 8 months back. Pelvic and vaginal ultrasonograpghy, with gynecologic examination established a diagnosis of transverse vaginal septum. An incision in the vaginal septum allowed us to see dead fetus, which was trapped in upper part of vagina. The diagnosis of transverse vaginal septum was confirmed during abortion phase & excision of the septum will prevent future obstetric complications. This rare case will helpful in keeping mind when confronted with such presentation. High index of suspicion is necessary to diagnose this type of anamoly. Gynecologists should be aware of the possibility of transverse vaginal septum in women in labour who became pregnant from a small central aperture. Correct & timely diagnosis of transverse vaginal septum prevents maternal morbidity in the form of uterine rupture & multiple significant vaginal lacerations & will have good obstetric career.