A Rare Case of Transverse Vaginal Septum Presenting With Primary Amenorrhea

Transverse Vaginal Septum is a rare congenital anomaly of the female genital tract. It may be obstructive or non-obstructive, and patients with obstructive features are diagnosed earlier. Common presentations include lower abdominal pain, urinary retention, and constipation in the background of primary amenorrhoea. Herein, we present a case of a 13-year-old adolescent girl who presented with acute lower abdominal pain and urinary retention. A mid-vaginal transverse septum was observed on vaginal examination. On sonography, signicant hematocolpos were visualised and a septate uterus was noted. The patient underwent a complete excision of the transverse septum. The postoperative period was uneventful, and the patient began to have normal menstruation. Early diagnosis, adequate surgical management, and proper follow-up are key to successful management of transverse vaginal septae. Further research is necessary to better classify and standardise treatment protocols due to the paucity of reported cases.