Open AccessSuccessful pregnancy following acquired gynatresia
Author(s) -
A. Umar,
Y Ahmed,
Jamila Abubakar Garba,
Abdullahi Umar Adoke,
Abdulhadi Diyo Saidu,
Mairo Hassan
Publication year - 2019
Publication title -
annals of african medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.433
H-Index - 26
ISSN - 1596-3519
DOI - 10.4103/aam.aam_12_18
Subject(s) - medicine , vagina , pregnancy , amenorrhea , psychological intervention , obstetrics , surgery , nursing , genetics , biology
Acquired gynatresia is a common gynecological condition in developing countries where puerperal complications and unskilled interventions prevail. A 23-year-old primipara who had spontaneous vaginal delivery complicated by gynatresia had vaginoplasty that failed due to erectile dysfunction in the spouse. She subsequently developed secondary amenorrhea and was relieved with dilatation and evacuation. She was planned for definitive surgery, however,she incidentally conceived with q pin-hole vagina. She was delivered of a live fetus at term via an elective cesarean section. This case is peculiar as spontaneous conception occurred with a pinhole opening. There is a need to adequately evaluate cases before definitive management to maximize success.