case_images: PMC6679870_01
case_images: Speculum examination revealed a 7 cm blind vaginal canal of normal caliber with two bilateral 2-3 mm pinpoint perforating holes, but no visualization of the cervix.
case_images: CRIOG2019-6738380.001.jpg
case_images: PMC6679870_01_CRIOG2019-6738380.001.jpg
case_images: fig1
case_images: Speculum examination revealed a 7 cm blind vaginal canal of normal caliber with two bilateral 2-3 mm pinpoint perforating holes and no visualization of the cervix [Figure 1].
case_images: Transvaginal ultrasonography (A) and magnetic resonance imaging (B) showed a normal cervix and uterus and 2.5 cm left ovarian endometriosis, but the septum of the vagina was not detected.
case_images: CRIOG2019-6738380.002.jpg
case_images: PMC6679870_01_CRIOG2019-6738380.002.jpg
case_images: fig2
case_images: Transvaginal ultrasonography and MRI showed a normal cervix and uterus and 2.5 cm left ovarian endometrioma, but the septum of the vagina was not detected [Figure 2].
case_images: Foley catheters were inserted into the two apertures: 8 French to the left and 14 French to the right. The balloons were then inflated with 3 ml and 8 ml of normal saline to fix each catheter in the proximal vagina.
case_images: CRIOG2019-6738380.003.jpg
case_images: PMC6679870_01_CRIOG2019-6738380.003.jpg
case_images: fig3
case_images: With the patient placed in a dorsal lithotomy position, Foley catheters were inserted into the two apertures, 8 French to the left and 14 French to the right, and balloons were inflated with 3 ml and 8 ml of normal saline to fix each catheter in the proximal vagina [Figure 3].
case_images: Findings in transabdominal ultrasonography. Each Foley catheter balloon (1) was inflated with normal saline to fix the catheter in the proximal vagina. About 30 ml of saline was injected through the catheters and the proximal vaginal pouch (2) was distended with saline.
case_images: CRIOG2019-6738380.004.jpg
case_images: PMC6679870_01_CRIOG2019-6738380.004.jpg
case_images: fig4
case_images: About 30 ml of saline was injected through the catheters, and the proximal vaginal pouch distended with saline and the uterine cervix were detected by transabdominal ultrasound [Figure 4].
case_images: Observation in the vaginal pouch using a flexible endoscope. The vaginal pouch and a completely normal portio were detected.
case_images: CRIOG2019-6738380.005.jpg
case_images: PMC6679870_01_CRIOG2019-6738380.005.jpg
case_images: fig5
case_images: TVS of the upper vagina, rather than proximal vaginal atresia. To confirm the vaginal pouch and uterine cervix visually, the left Foley catheter was withdrawn and a flexible endoscope was inserted into the vaginal pouch, which revealed a completely normal portio [Figure 5].
case_images: Speculum examination after excision of the septum revealed a normal cervix.
case_images: CRIOG2019-6738380.006.jpg
case_images: PMC6679870_01_CRIOG2019-6738380.006.jpg
case_images: fig6
case_images: The septum was excised with cautery and a completely normal cervix was ascertained on speculum examination [Figure 6].