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Vaginal septoplasty in septate uterus with double cervix.

Barbanti S, Chiamulera N, Botelho B - Case Rep Obstet Gynecol (2014)

Bottom Line: Fusion defects of the Müllerian ducts occur frequently and they have been described by the American Fertility Society.However, septate uterus with cervical duplication and longitudinal vaginal septum is not described by this classification and has suggested a change in the classical theory of fusion of the Müllerian ducts.The description of this case is to contribute with all uncommon cases of Müllerian anomalies reports and clinical treatment protocols, which is not yet established.

View Article: PubMed Central - PubMed

Affiliation: Gynecology and Obstetrics Service of Metropolitano Hospital, Medical School of Ingá Faculty (Uningá), Avenida D. Pedro I 65, 87110-001 Sarandi, PR, Brazil.

ABSTRACT
Fusion defects of the Müllerian ducts occur frequently and they have been described by the American Fertility Society. However, septate uterus with cervical duplication and longitudinal vaginal septum is not described by this classification and has suggested a change in the classical theory of fusion of the Müllerian ducts. This paper describes a rare case report of a patient with complete septate uterus with double cervix and longitudinal vaginal septum, submitted to the vaginal septoplasty for dyspareunia, progressing to clinical improvement. The description of this case is to contribute with all uncommon cases of Müllerian anomalies reports and clinical treatment protocols, which is not yet established.

No MeSH data available.


Related in: MedlinePlus

Complete septum evidenced two vaginal cavities (left). Pelvic image of magnetic resonance imaging showing septate uterus (right).
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fig1: Complete septum evidenced two vaginal cavities (left). Pelvic image of magnetic resonance imaging showing septate uterus (right).

Mentions: A 23-year-old primigravida presented to our service for missed abortion (8 weeks age). She reported menarche at 11 years old with normal pubertal development. Nowadays she complains dyspareunia associated with penetration difficulties. She did not report knowledge of urinary systems malformations and had no history of maternal exposure to diethylstilbestrol. Pelvic examination revealed normal external genitalia, with the presence of longitudinal vaginal septum and two uterine cervices (Figure 1). The magnetic resonance imaging (MRI), with intravenous contrast, showed the presence of uterus cavity with complete septate uterus and without indentations in uterine serous. Ultrasonography of the kidneys and urinary tract showed no changes. The patient underwent uterine evacuation.


Vaginal septoplasty in septate uterus with double cervix.

Barbanti S, Chiamulera N, Botelho B - Case Rep Obstet Gynecol (2014)

Complete septum evidenced two vaginal cavities (left). Pelvic image of magnetic resonance imaging showing septate uterus (right).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4127229&req=5

fig1: Complete septum evidenced two vaginal cavities (left). Pelvic image of magnetic resonance imaging showing septate uterus (right).
Mentions: A 23-year-old primigravida presented to our service for missed abortion (8 weeks age). She reported menarche at 11 years old with normal pubertal development. Nowadays she complains dyspareunia associated with penetration difficulties. She did not report knowledge of urinary systems malformations and had no history of maternal exposure to diethylstilbestrol. Pelvic examination revealed normal external genitalia, with the presence of longitudinal vaginal septum and two uterine cervices (Figure 1). The magnetic resonance imaging (MRI), with intravenous contrast, showed the presence of uterus cavity with complete septate uterus and without indentations in uterine serous. Ultrasonography of the kidneys and urinary tract showed no changes. The patient underwent uterine evacuation.

Bottom Line: Fusion defects of the Müllerian ducts occur frequently and they have been described by the American Fertility Society.However, septate uterus with cervical duplication and longitudinal vaginal septum is not described by this classification and has suggested a change in the classical theory of fusion of the Müllerian ducts.The description of this case is to contribute with all uncommon cases of Müllerian anomalies reports and clinical treatment protocols, which is not yet established.

View Article: PubMed Central - PubMed

Affiliation: Gynecology and Obstetrics Service of Metropolitano Hospital, Medical School of Ingá Faculty (Uningá), Avenida D. Pedro I 65, 87110-001 Sarandi, PR, Brazil.

ABSTRACT
Fusion defects of the Müllerian ducts occur frequently and they have been described by the American Fertility Society. However, septate uterus with cervical duplication and longitudinal vaginal septum is not described by this classification and has suggested a change in the classical theory of fusion of the Müllerian ducts. This paper describes a rare case report of a patient with complete septate uterus with double cervix and longitudinal vaginal septum, submitted to the vaginal septoplasty for dyspareunia, progressing to clinical improvement. The description of this case is to contribute with all uncommon cases of Müllerian anomalies reports and clinical treatment protocols, which is not yet established.

No MeSH data available.


Related in: MedlinePlus