Work

Chronic pelvic pain secondary to venous congestion of longitudinal vaginal septum: a case report

Year: 2025

Type: article

Abstract: We describe the first written description of chronic pelvic pain secondary to venous congestion isolated to a longitudinal vaginal septum. A 29-year-old nulliparous female with chronic pelvic pain was diagnosed with a complete longitudinal vaginal septum and complete septate uterus. The patient desired surgical management, and the vaginal septum was excised without complications. Vascular congestion of the septal tissue was noted on pathology, and postoperatively, the patient's pelvic pain improved significantly. Typically, patients with a longitudinal vaginal septum present with pain isolated to vaginal penetration. For atypical presentations like chronic pelvic pain, surgical resection is reasonable to consider with shared patient decision-making.

Source: AJOG Global Reports

DOI: 10.1016/j.xagr.2025.100480

Authors: Megan A. Stevenson, Koah R. Vierkoetter, Jennifer W.H. Wong

Institutions: University of Hawaiʻi at Mānoa, University of Hawaii System

Language: English

Topic: Gynecological conditions and treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,980