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
References
Acien P, Acien M, Sanchez-Ferrer M. Complex malformations of the female genital tract. New types and revision of classification. Hum Reprod 2004;19:2377-84.
McBean JH, Brumsted JR. Septate uterus with cervical duplication: a rare malformation. Fertil Steril 1994;62:415-7.
Buttram VC, Gibbons WE. Mullerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 1979;32:40-6.
The American Fertility Society. The AFS classifications 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.
Saygili-Yilmaz ES, Erman-Akar M, Bayar D, Yuksel B, Yilmaz Z. Septate uterus with a double cervix and longitudinal vaginal septum. J Reprod Med 2004;49:833-6.
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;81:1133-6.
Crosby WM, Hill EC. Embriology of the Mullerian duct system. Review of present-day theory. Obstet Gynecol 1962;20:507-15.
Balasch J, Moreno E, Martinez-Roman S, Molini JL, Torne A, Sanchez-Martin F, et al. Septate uterus with cervical duplication: a report of three new cases. Eur J Obstet Gynecol Reprod Biol 1996;65:241-3.
Hundley AF, Fielding JR, Hoyte L. Double cervix and vagina with septate uterus: an uncommon mullerian malformation. Obstet Gynecol 2001;98:982-5.
Muller P, Musset R, Netter A, Solal R, Vinourd JC, Gillel JY. Etat du haut appareil urinaire chez les porteuses de malformations uterines: etude de 133 observations. Presse Med 1967;75:1331-6.
Wai CY, Zekam N, Sanz LE. Septate uterus with double cervix and longitudinal vaginal septum. J Reprod Med 2001;46:613-7.
Kupesic S, Kurjak A. Diagnosis and treatment outcome of the septate uterus. Croat Med J 1998; 39:185-90.
Wu MH, Hsu CC, Huang KE. Detection of congenital mullerian duct anomalies using three-dimensional ultrasound. J Clin Ultrasound 1997;25:487-92.
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