{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:35:17Z","timestamp":1790710517132,"version":"4.1.0"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,8]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Postpartum genital tract adhesions are infrequent and exact incidence is not reported. Severe dystocia, obstructed labour and frequent pelvic examinations have been proposed as possible causes of vaginal adhesion following vaginal delivery. Atresia\/adhesions of vagina following caesarean section is very rare. Here, we report a rare case of 21-year-old P1L1 woman presenting with secondary amenorrhoea associated with cyclical abdominal pain following caesarean section. Per speculum examination showed a blind vagina with no communication with the upper one-third. We created a neovagina after adhesiolysis. We hope to increase the awareness of the obstetricians around the globe about postpartum genital tract adhesion, which may even occur as a rare secondary complication of caesarean section. We also wish to bring to the light of obstetricians that numerous pelvic examinations or difficult vaginal delivery may lead to genital tract trauma, and thus, must be minimised in an attempt to prevent postpartum genital tract adhesions.<\/jats:p>","DOI":"10.1136\/bcr-2020-238427","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T10:58:16Z","timestamp":1614077896000},"page":"e238427","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Secondary vaginal atresia following caesarean section: an unreported entity"],"prefix":"10.1136","volume":"14","author":[{"given":"Pruthwiraj","family":"Sethi","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girija Shankar","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya","family":"Kumari","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Orissa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"2025082713002649000_14.2.e238427.1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610120059923"},{"key":"2025082713002649000_14.2.e238427.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.04.004"},{"key":"2025082713002649000_14.2.e238427.3","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2007.04.060214"},{"key":"2025082713002649000_14.2.e238427.4","doi-asserted-by":"crossref","DOI":"10.1080\/01443610500051262","article-title":"Postpartum labial adhesions following normal vaginal delivery","volume":"25","author":"Sharma","year":"2005","journal-title":"J Obstet Gynaecol"},{"key":"2025082713002649000_14.2.e238427.5","doi-asserted-by":"crossref","first-page":"70","DOI":"10.5468\/ogs.2014.57.1.70","article-title":"Vaginal adhesions in a woman with the history of dystocia","volume":"57","author":"Kim","year":"2014","journal-title":"Obstet Gynecol Sci"},{"key":"2025082713002649000_14.2.e238427.6","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1089\/gyn.2009.0102","article-title":"Pinhole vagina following mismanaged vaginal delivery","volume":"26","author":"Zahran","year":"2010","journal-title":"J Gynecol Surg"},{"key":"2025082713002649000_14.2.e238427.7","doi-asserted-by":"crossref","unstructured":"Graziottin A . Iatrogenic and post-traumatic female sexual disorder. In: Porst H , Buvat J , eds. ISSM (International Society of sexual medicine) standard Committee book, standard practice in sexual medicine. Oxford, UK: Blackwell, 2006: 351\u201361.","DOI":"10.1002\/9780470755235.ch26"},{"key":"2025082713002649000_14.2.e238427.8","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.07.2010.3135"},{"key":"2025082713002649000_14.2.e238427.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-5456(00)00133-9"},{"key":"2025082713002649000_14.2.e238427.10","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/0002-9378(82)90200-9","article-title":"Laparoelytrotomy or abdominal delivery without uterine incision","volume":"144","author":"Goodlin","year":"1982","journal-title":"Am J Obstet Gynecol"},{"key":"2025082713002649000_14.2.e238427.11","first-page":"OD05","article-title":"Secondary vaginal atresia treated with vaginoplasty using amnion graft: a case report","volume":"8","author":"Rathod","year":"2014","journal-title":"J Clin Diagn Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238427","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:00:39Z","timestamp":1756324839000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238427"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,23]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-238427"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238427","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}