Transverse Vaginal Septum Associated With Tubal Atresia Petra M. Polasek, M.D., Lisa D. Erickson, M.D., C. Robert Stanhope, M.D.  Mayo Clinic Proceedings  Volume 70, Issue 10, Pages 965-968 (October 1995) DOI: 10.4065/70.10.965 Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Preoperative ultrasonogram of 17-year-old girl, showing dilated upper part of vagina (V) and uterus (U), with outflow obstruction 1.5 cm distal to external os. UT LONG = longitudinal viewof uterus. Mayo Clinic Proceedings 1995 70, 965-968DOI: (10.4065/70.10.965) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Preoperative magnetic resonance image, showing hematocolpos, hematometra, and thick transverse vaginal septum (S) in upperthirdof vagina (V). B = bladder; U = uterus. Mayo Clinic Proceedings 1995 70, 965-968DOI: (10.4065/70.10.965) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Drawingof resection of transverse vaginalseptum. A, Intacttransverse vaginalseptum. B, Intact transverse vaginal septumon speculum examination. C, Vertical incision of transverse vaginal septum, with exposure of cervix cephalad, and circumferential incision that separatesseptumfrom normalvaginalmucosa. D, Closureof defect with interrupted sutures after excisionof transverse vaginalseptumand mobilization of vaginalmucosa. E, Interposition of skin graft into mucosaldefect in thick transverse vaginalseptum. Mayo Clinic Proceedings 1995 70, 965-968DOI: (10.4065/70.10.965) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Drawing of laparoscopic findings, showingnormal uterus, ovaries with physiologic cysts, and atretic fallopian tubes bilaterally. Note hypoplastic left ovary. Endometriosis was absent. Mayo Clinic Proceedings 1995 70, 965-968DOI: (10.4065/70.10.965) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions