Ono Ayumi, Kisu Iori, Iijma Tomoko, Senba Hiroshi, Matsuda Kiyoko, Katayama Motoko, Iura Ayaka, Miura Yumiko, Hirao Nobumaru
Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan.
Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
Case Rep Obstet Gynecol. 2019 Jul 22;2019:6738380. doi: 10.1155/2019/6738380. eCollection 2019.
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.
阴道横隔（TVS）是一种极为罕见的阴道畸形，在妇科检查中诊断往往困难。我们在此报告一例穿孔性TVS病例，通过一种称为生理盐水灌注超声阴道造影的新技术成功实现了诊断和治疗。一名32岁女性因原发性不孕前来就诊。窥器检查发现阴道管盲端有两个针孔样穿孔。将带气囊的 Foley 导管插入两个孔中，然后通过导管注入生理盐水以扩张阴道穹窿。这种生理盐水灌注超声阴道造影检查显示了子宫颈和阴道穹窿，并得以诊断为阴道上段穿孔性TVS。切除了隔膜并确认宫颈正常。患者术后未出现如阴道粘连等并发症。该病例表明生理盐水灌注超声阴道造影可能对TVS的诊断和治疗有用。
