Premenarchal, Recurrent Vaginal Discharge Associated with an Incomplete Obstructing Longitudinal Vaginal Septum

Study Objective To describe an unusual, premenarchal presentation of an obstructive vaginal anomaly. Design Case Report Setting University Medical Center Participants Premenarchal subject Interventions vaginogram, vaginal septum resection Results Vaginal septum resection with resolution of vaginal discharge. Conclusions This case demonstrates some of the typical features of uterus didelphys bicollis with incomplete obstructing hemivagina, but had a unique presentation with premenarchal, recurrent vaginal discharge. Typically, patients with an obstructing mullerian anomaly present after menarche with pelvic pain and a mass. The vaginogram assists in the preoperative definition of abnormal anatomy which allows the surgeon to develop the most appropriate surgical approach. Resection of this incompletely obstructing vaginal septum resulted in resolution of the recurrent vaginal discharge