Septate uterus: incidental finding in multiparous woman with breech with bad obstetric history who had an emergency caesarean


  • Shilpi Singh Department of Obstetrics and Gynecology, Sri Devraj Urs Medical College, Tamaka, Karnataka, India
  • Sheela S. R. Department of Obstetrics and Gynecology, Sri Devraj Urs Medical College, Tamaka, Karnataka, India
  • Sreeramulu P. N. Department of Surgery, Sri Devraj Urs Medical College, Tamaka, Karnataka, India



CTEV, Malpresentation, Recurrent pregnancy loss, Septate uterus


The most common anomalies of reproductive tract are Mullerian duct anomalies, among which septate uterus is the commonest with highest reproductive failure rate. As there are some pitfalls in diagnosis therefore the incidence is difficult to be mentioned as many remain asymptomatic. A 20 year old G5P1L0A3 with 36+4 weeks of gestation with breech presentation in active labour came to our hospital. Patient had previous history of intrauterine death at 8 months of amenorrhea and previous abortions at 5, 5 and 4 months of amenorrhoea in the year 2011, 2013, and 2014 respectively. She underwent emergency caesarean section due to breech at 36+4 weeks in active labour with the delivery of a live late preterm female baby extracted by complete breech of weight 2.28kgs with bilateral CTEV of the baby. Intraoperative findings- of septate uterus–septum extending from fundus to external os, fundal dimpling present. Though rare but uterine anomalies should be suspected in patients with recurrent pregnancy loss, preterm birth and malpresentation.

Author Biography

Sheela S. R., Department of Obstetrics and Gynecology, Sri Devraj Urs Medical College, Tamaka, Karnataka, India

professor,obstetrics and gynecology


Pang, LH, Li MJ, Li MQ, Xu, H, Wei, ZL. Not Every Subseptate Uterus Requires Surgical Correction to Reduce Poor Reproductive Outcome. Int J of Gynecol Obstet. 2011;115:260-63.

Saravelos SH, Cocksedge KA, Li TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Hum Reprod Update. 2008;14:415-29.

Nagrathanamma R, James T, Prasad N. Pregnancy Outcome in Uterine Anomalies. J Med Sci. 2017;3(1):31-3.

Ghi T, Casadio P, Kuleva M, Perrone AM, Savelli L, Giunchi S, et al. Accuracy of three-dimensional ultrasound in diagnosis and classification of congenital uterine anomalies. Fertil Steril. 2009;92:808-13.

Bermejo C, Martinez TP, Cantarero R, Diaz D, Pe´rez Pedregosa J, Barro`n E et al. Three-dimensional ultrasound in the diagnosis of Mullerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2010;35:593-601.

Chang AS, Siegel CL, Moley KH, Ratts VS, Odem RR. Septate uterus with cervical duplication and longitudinal vaginal septum: a report of five new cases. Fertil Steril 2004;81:1133-36.

Faivre E, Fernandez H, Deffieux X, Gervaise A, Frydman R, Levaillant JM. accuracy of three- dimensional ultrasonography in differential diagnosis of septate and bicornuate uterus compared with office hysteroscopy and pelvic magnetic resonance imaging. J Minim Invasive Gynecol. 2012;19:101-06.

Nicolini U, Bellotti M, Bonazzi B, Zamberletti D. Candiani GB. Can Ultrasound Be Used to Screen Uterine Malformations? Fertil Steril.1987;47:89-93.

Dabirashrafi H, Bahadori M, Mohammad K, Alavi M, Moghadami-Tabrizi N, Zandinejad K et al. Septate uterus: new idea on the histological features of the sepyum in this abnormal uterus. Am J of Obstet Gynecol. 1995;171:105-7.

Balen AH. Tubal infertility and fibroid. In: infertility in practice, Informa, London. 2008:239-257.

Homer HA, Li TC, Cooke ID. The septate uterus: A review of management and reproductive outcome. Fertil Steril. 2000;73:1-14.






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