Chayada TangshewinsirikulWirada DulyaphatSanpon DiawtipsukonYada TingthanatikulChonthicha SatirapodDuangrurdee WattanasirichaigoonFaculty of Medicine, Ramathibodi Hospital, Mahidol University2020-08-252020-08-252020-01-01Clinical Case Reports. (2020)205009042-s2.0-85087660738https://repository.li.mahidol.ac.th/handle/20.500.14594/58246© 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd The presence of pelvic pain, a pelvic/paravaginal mass, and purulent vaginal discharge in primigravida should raise the possibility of obstructed hemivagina and uterine didelphys. Though conservative management could result in successful pregnancy outcomes, early excision of vaginal septum and adequate drainage offer a shorter course of management and complication avoidance.Mahidol UniversityMedicineArticleSCOPUS10.1002/ccr3.3080