Vol. 6, Issue 2, Part A (2024)

Introduction: A longitudinal vaginal septum is a rare Müllerian duct anomaly that divides the vaginal canal. Though often asymptomatic, some patients experience dyspareunia, dysmenorrhea, or post-coital bleeding. This case explores the diagnosis and surgical management of a partial longitudinal vaginal septum.

Case Presentation: A 54-year-old nulliparous female presented with post-coital bleeding and dyspareunia. A partial longitudinal vaginal septum with a blind pouch was detected during a gynecological examination. The patient underwent successful surgical excision using the LigaSure device, resulting in a complete resolution of symptoms at the one-week follow-up.

Discussion: This case highlights the significance of recognizing rare anatomical anomalies, such as a partial longitudinal vaginal septum, in patients with nonspecific symptoms. Surgical excision using LigaSure offers advantages, including minimal blood loss and clean surgical margins. Alternative methods, like simple excision or GIA stapler use, pose drawbacks such as increased blood loss, tissue irritation, or infection. LigaSure, with its minimal thermal spread, is a safer option but requires caution near neighboring sensitive structures.

Conclusion: This case demonstrates the importance of considering rare vaginal anomalies in patients presenting with gynecological complaints. Successful surgical treatment led to the resolution of symptoms, supporting the need for further research into optimal diagnostic and therapeutic strategies for such rare conditions.