 An 11-year-old girl suffering from left-crossed fused renal ectopia and sacral hypoplasia was referred to the gynecology OPD at Karachi, Pakistan in February 2019 due to abdominal pain. Upon examination, it was discovered that the patient had a septum covering her vagina. This was later identified as hematocalpos, a condition caused by incomplete development of the hymen. The patient underwent incision and drainage, but this did not resolve the problem. Further investigation revealed that the patient had multiple complete and partial transverse vaginal septae, which were causing recurring formation of hematocalpos. To manage this, the patient underwent ultrasound guided needle puncture and drainage, followed by post-operative tampon used to maintain patency. This article was authored by Marine Yousaf Rana, Saeeda Heeranakvi and Rubina Hussein.