An unusual case of septate uterus with double cervix and longitudinal vaginal septum simulating uterus didelphys
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20164681Keywords:
Double cervix, Hysteroscopic septotomy, Longitudinal vaginal septum, Septate uterusAbstract
Rare mullerian anomalies not falling in any present classification are sometimes reported. A 27-year‐old woman came to our hospital with history of secondary infertility. She was found to have a longitudinal vaginal septum, cervical duplication and two endometrial cavities, separated by a complete septum. Laparoscopic examination revealed a relatively intact uterine fundus with both patent fallopian tubes. Hysteroscopic exam confirmed the presence of double vagina and double cervix, as well as complete uterine septum. It was a rare variant of complete septate uterus with double cervix, which could be successfully treated by hysteroscopic operation. Diagnosis and management of this unusual Müllerian anomaly are discussed in the context of a literature review.
References
The American Fertility Society. The American Fertility Society classi- fications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Müllerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944-55.
Pavone ME, King JA, Vlahos N. Septate uterus with cervical duplication and a longitudinal vaginal septum: a mullerian anomaly without a classification. Fertil Steril. 2006;85:494.e9-10.
Acien P, Acien M, Sanchez-Ferrer ML. Mullerian anomalies “without a classification”: from the didelphys-unicollis uterus to the bicervical uterus with or without septate vagina. Fertil Steril. 2009;91:2369.
Taylor E, Gomel V. The uterus and fertility. Fertil Steril. 2008;89:1-16.
Wang JH, Xu KH, Lin J, Chen XZ. Hysteroscopic septum resection of complete septate uterus with cervical duplication, sparing the double cervix in patients with recurrent spontaneous abortions or infertility. Fertil Steril. 2009;91:2643-9.
Musset R, Muller P, Netter A, Solal R, Vinourd JC, Gillet JY. Etat du haut appareil urinaire chez les porteuses de malformations uterines. Etude de 133 observations. Presse Med. 1967;75(26):1227-32.
Patton PE, Novy MJ, Lee DM, Hickok LR. The diagnosis and reproductive outcome after surgical treatment of the complete septate uterus, duplicated cervix and vaginal septum. Am J Obstet Gynecol. 2004;190:1669-75.
Giraldo JL, Habana A, Duleba AJ, Dokras A. Septate uterus associated with cervical duplication and vaginal septum. J Am Assoc Gynecol Laparosc. 2000;7(2):277-9.
Balasch J, Moreno E, Martinez-Román S, Moliní JL, Torné A, Sánchez-Martín F, et al. Septate uterus with cervical duplication and longitudinal vaginal septum: a report of three new cases. Eur J Obstet Gynecol Reprod Biol. 1996;65(2):241-3.
Sharara FI. Complete uterine septum with cervical duplication, longitudinal vaginal septum and duplication of a renal collecting system. A case report. J Reprod Med. 1998;43(12):1055-9.
