{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T12:28:45Z","timestamp":1782908925137,"version":"3.54.5"},"reference-count":6,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,7,4]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Transverse vaginal septum (TrVS) is a rare congenital anomaly of the M\u00fcllerian duct system that leads to obstructed menstrual flow. We present a case of a teenage girl with primary amenorrhoea, cyclic pelvic pain and a high transverse vaginal septum associated with haematocolpos and a septate uterus. Initial resection under laparoscopic guidance provided temporary relief, but postoperative complications such as vaginal stricture and adhesions developed due to non-compliance with dilation therapy. Secondary surgery involved stricture release and placement of a collagen-elastin scaffold (Matriderm) to prevent re-adhesion. At the 6\u2009week follow-up, vaginal patency was maintained with restored menstruation. This case emphasises the need for structured follow-up and emerging reconstructive strategies for optimal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2025-266252","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T09:25:24Z","timestamp":1753435524000},"page":"e266252","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Transverse vaginal septum with recurrent stricture formation in adolescence: a clinical challenge"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3600-2736","authenticated-orcid":false,"given":"Venkata Kruthi","family":"Tellakula","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr D Y Patil Vidyapeeth University Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenal","family":"Patvekar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr D Y Patil Vidyapeeth University Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhushan R","family":"Patil","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Dr D Y Patil Vidyapeeth University Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Suryarao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr D Y Patil Vidyapeeth University Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipak","family":"Kolate","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr D Y Patil Vidyapeeth University Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Jagtap","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Dr D Y Patil Vidyapeeth University Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"2025082701030433000_18.7.e266252.1","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jpag.2008.07.016","article-title":"Primary Amenorrhea with an Abdominal Mass at the Umbilicus","volume":"22","author":"Saks","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025082701030433000_18.7.e266252.2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12899"},{"key":"2025082701030433000_18.7.e266252.3","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.ijscr.2020.11.098","article-title":"Management of a transverse vaginal septum complicated with hematocolpos in an adolescent girl: Case report","volume":"77","author":"Kamal","year":"2020","journal-title":"Int J Surg Case Rep"},{"key":"2025082701030433000_18.7.e266252.4","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2024.1342906","article-title":"Acellular dermal matrix in urethral reconstruction","volume":"12","author":"Aodi","year":"2024","journal-title":"Front Pediatr"},{"key":"2025082701030433000_18.7.e266252.5","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s10397-013-0799-z","article-title":"Laparoscopic management of high transverse vaginal septae: a case report","volume":"10","author":"Williams","year":"2013","journal-title":"Gynecol Surg"},{"key":"2025082701030433000_18.7.e266252.6","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1055\/s-0038-1670714","article-title":"Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique","volume":"40","author":"Scutiero","year":"2018","journal-title":"Rev Bras Ginecol Obstet"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266252","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:03:16Z","timestamp":1756281796000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":6,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,25]]},"published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1136\/bcr-2025-266252"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266252","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}