Korean J Obstet Gynecol.  2010 Sep;53(9):856-859. 10.5468/kjog.2010.53.9.856.

A variant of complete septate uterus with double cervix and vagina: A case report

• Shin MS
• Han KH
• Kim SA
• Jung HJ
• Hwang EJ
• Jee BC
• Suh CS

• KMID: 2078006
• DOI: http://doi.org/10.5468/kjog.2010.53.9.856

Abstract

Rare mullerian anomalies without any present classification were sometimes reported. A 30-year-old nulligravid woman was referred to our hospital with 2-year history of primary infertility. Laparoscopic examination revealed a relatively intact uterine fundus with both patent fallopian tubes. Hysteroscopic exam confirmed the presence of double vagina and cervix, as well as complete uterine septum with opening at the lower segment. Hysteroscopic septotomy was successfully performed through the right-sided cervix. A variant of complete septate uterus with double cervix that communicated at the isthmic portion could be successfully treated by hysteroscopic operation.

Keyword

Septate uterus; Double cervix; Longitudinal vaginal septum; Hysteroscopic septotomy

MeSH Terms

Adult
Cervix Uteri
Fallopian Tubes
Female
Humans
Infertility
Uterus
Vagina

Figure

• 

  Figure 1 A case of variant complete septate uterus with double cervix and vagina. (A) Preoperative hysterosalpingogram demonstrating both hemi-uteri by instillation of the left-sided cervix. Both tubes are patent. (B) A laparoscopic view of uterine fundus. (C) A laparoscopic view of uterine adnexa. (D) Two Foley catheters inserting through each cervix. (E) A hysteroscopic view of uterine cavity and septum with communication at the lower segment (through right-sided cervix). (F) A hysteroscopic view of excised septum (through right-sided cervix).

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