Objectives: To present a case of an apparently perforated transverse vaginal septum (rare anomaly of Mullerian duct) which later showed evidence of obstruction during the course of management.
Case report: 30 year old primigravida, with apparently perforated septum, however; post-operatively of her caesarean section, she had complaints consistent with imperforated septum. She was managed by dilatation and insertion of Foley’s catheter that successfully maintained the opening of the septum on follow up.
Conclusion: Our case is rare since the pre-operative history indicated a perforated septum that became occluded post-operatively. There are very few reports of such conditions, and no clear explanation based on evidence. The proposed hypothesis is obstruction of micro-perforation by blood and tissue debris.