Obstructed hemivagina with pyocolpos: An unusual presentation after delivery

Abstract

Introduction: Obstructive mullerian anomalies are uncommon in gynecologic practice. Pelvic pain, abdominopelvic mass, and abnormal vaginal discharge are common symptoms. Case report: We describe a case of mullerian anomaly that was presented 9 years after menarche. Patient presented after delivery with offensive vaginal discharge and pelvic pressure 7 month after delivery without fever. She was diagnosed with bicornuate uterus, septate cervix along with obstructed hemivagina with pus collection and ipsilateral renal agenesis. She was successfully managed by transvaginal septum resection and drainage of pus.

Keywords

• Pyocolpos
• Uterus
• Mullerian anomaly
• Vagina
• Ultrasound
• Magnetic resonance imaging