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An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Layla J. Hussein (DGO, MD. ART) and Mohamad Theyab Hamad Hussei (MRCS)*


Background: Genital outflow tract obstruction is a rare cause of primary amenorrhea. Transverse vaginal septum is a rare condition that results from abnormalities in the vertical fusion between the vaginal components of the Mullerian ducts and the urogenital sinus. If the septum is complete, the menstrual flow will be obstructed causing primary amenorrhea. We present a case of 12-year old girl presented by her family to the obstetric and gynaecological outpatient of Al-Batool teaching hospital with acute lower abdominal pain for one day duration. History revealed severe lower abdominal pain for the last day with normal bowel motion, no vomiting, no urinary complaint, and no fever. There was no previous history of such pain. Gynaecological history revealed no previous menstrual cycle. Vital signs were normal. Ultrasound showed cystic mass (5x7) cm between the bladder and the cervix. The patient prepiared for laparotomy. Pfannenstiel incision made, the pelvis explored, both ovaries were normal and a cystic mass involving the upper vagina was found. Rail-Road Technique ( that it is used for repair of urethral injury ) using a 24 gage Folly's catheter passed through the hymen then through the transvaginal membrane to be placed above the membrane, kept for 2 weeks, after that the Folly's catheter was removed. The patient continued experiencing normal menses without any problem for the last five years. For soscial reasons, the surgical excision of the transverse vaginal membrane waited to be performed when the patient got married. Conclusion: Rail-Road Technique inserting a Folly's catheter above a congenital transverse vaginal membrane is good option in areas where disrupting the hymen is refused before marriage.

Keywords: Transverse vaginal septum, Foley catheter.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia