Secondry Gynaetresia: A Rare Complication of Traumatic Post Partum Haemorrhage

Secondary gynaetresia may occur as a result of trauma to the female genital tract with secondary infection and adhesions. Post traumatic s vaginal stenosis after full term vaginal delivery is rarely seen in gynaecology We report a case of 28 year old woman presenting with history of termination of 6 weeks pregnancy with probably oral mifepristone and misoprostol. On examination she was found to have vaginal atresia with a pin point cicatrized hole in the centre. She had full term vaginal delivery 2 years back with history of traumatic post partum haemorrhage in the first delivery.USG showed mixed echogenic lesion of 30×20mm suggestive of retained products of conception. Findings at surgery were vaginal septum with pin point hole in the centre. The hole was sequentially dialated to Hegar's no 8 dialator.Septum was incised. Products of conception removed from vagina and uterus digitally and by suction evacuation. Continuous interlocking sutures taken at bleeding edges of vaginal septum. Post procedure vagina admitted 2 fingers with no dyspareunia on follow up. Keywords: Secondary gynaetresia, post traumatic vaginal stenosis, retained products of conception.