Septate uterus, cervical duplication and vaginal septum: a report of an uncommon malformation.
DOI:
https://doi.org/10.18597/rcog.535Keywords:
uterus, cervix uteri, vaginal, Müllerian ductsAbstract
Objective: to describe a case of an unusual müllerian anomaly.
Design: case report.
Case report: a 34 years old white nulligravida presented with complains of suspected uterine septum observed during a routine ultrasonographic examination. Gynecological examination revealed a longitudinal vaginal septum which arrived in hymeneal region and two uterine cervixes. Three dimensional pelvic ultrasonography showed cervix duplication, uterine septum from isthmus to endometrial cavity and absence of uterine body division, compatible with complete uterine septum and true dual cervices.
Conclusion: this case represents a rare malformation that is not included in usual classification of müllerian malformations and is not explained by the traditional embryologic vision that supports the unidirectional müllerian fusion. The three-dimensional ultrasonography, a non-invasive and lower cost exam, is a diagnostic option that must be considered in diagnosis arsenal of müllerian malformations.
Author Biographies
Mariangela Badalotti
Adriana Arent
Vicente Monteggia
Julia Machado
Rafaella Petracco
Alvaro Petracco
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