We present the case of a patient who delivered her baby through the perineal body with an intact vaginal introitus. Damage to the perineal body through its connection to the external anal sphincter can involve the rectovaginal septum with increased morbidity and thought to be linked to rectocele development.

BACKGROUND We aimed to evaluate the microscopic extent of endometriosis in surgical en-bloc specimens of vaginal skin, rectovaginal septum, cul-de-sac, and part of the rectosigmoid bowel. METHODS From December, 1997 to October, 2001, 50 patients with the trias of intestinal pain, palpable disease in the rectovaginal septum, and laparoscopic diagnosis of endometriosis of the cul-de-sac and/or ...

Late presentation of symptomatic hydrometrocolpos is uncommon. We present a 5 years old continent girl with prenatally diagnosed multicystic dysplastic left kidney and late-onset lower abdominal pain. Investigations revealed nonfunctioning an ectopic ureter draining into the hemivagina, vaginal duplication obstructed urine-filled hemivagina. Surgical therapy included resection septum laparoscop...

A 21 year old, Rhesus negative Primigravida referred in view of severe preeclampsia with uterine didelphys. She had regular cycles and no history of menstrual disturbances in the past. She was married for 10 months, spontaneous conception and no dyspareunia. Booked at 6weeks, had conceptional folate, Iron and calcium supplementation. No history of early pregnancy bleeding or threatened preterm ...

Bicornuate Uterus is a type of lateral fusion disorder of the mullerian ducts. According to the American Fertility Society Classification of Mullerian Anomalies, bicornuate uterus is a class IV anomaly. Incidence of this anomaly varies. This may affect a woman's obstetric, as well as her gynecologic outcome. Here we present a 23 year primigravida at 38 weeks and 5 days gestation with footling b...