Urinary presentations of a posttraumatic vaginal septum in a 14-year-old girl

Özet

Obstructing lesions of vagina, such as transverse vaginal septum, are rare anomalies. In this paper, wereport a case of posttraumatic transverse vaginal septum. The patient was a 14-year-old girl who had atransverse vaginal septum because of repaired perineal trauma happened during earthquake that hit Bamcity of Iran, when she was three years old. Post-traumatic vaginal septum had resulted in development ofa massive hematometra. To our knowledge, this is the first report of urinary incontinence due to massivehematometra, which resulted from a posttraumatic vaginal septum. The rareness and diversity of clinicalpresentations of vaginal obstructing lesions can lead to misdiagnosis. The patient might refer to different medical and surgical specialists. So, knowing the symptoms is necessary for its early diagnosis. Theprobability of vaginal obstructing lesions in peripubertal girls with lower urinary tract symptoms shouldalways be considered.