Intrapartal Resection of the Double Cervix and Longitudinal Vaginal Septum After Hysteroscopic Resection of the Complete Uterine Septum, Resulting in a Term Vaginal Delivery: A Case Report

Overview

Journal Case Rep Womens Health

Date 2018 Mar 30

PMID 29593983

Citations 2

Authors

Ingrid Marton

Dubravko Habek

Matija Prka

Iva Marffy

Milan Pavlovic

Affiliations

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Abstract

Objective: To report a rare uterine anomaly of a septate uterus, double cervix and double vagina in patient who conceived spontaneously and delivered vaginaly.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, Zagreb University School of Medicine, Clinical Hospital "Sveti Duh", Zagreb, Croatia.

Patients: A 34-year-old nulligravida who underwent clinical, radiological, surgical and intrapartal workup.

Interventions: Clinical examination and intrapartal surgical resection of vaginal septum followed by vaginal delivery.

Main Outcome Measures: Description and treatment for a rare Müllerian anomaly and a subsequent literature search.

Results: Successful intrapartal resection of longitudinal vaginal septum and double cervix followed by vaginal delivery without complication.

Conclusions: Reconstructive surgical procedures may be considered for providing spontaneous pregnancies and intrapartal surgical technique could be taken into consideration in order to prevent unnecessary cesarean sections, upon strict estimation of the obstetrician.

Citing Articles

A woman with a normal uterus and duplicated cervices: A case report and review of a Müllerian anomaly.

Mehta K, Wilson E Case Rep Womens Health. 2023; 37:e00490.

PMID: 36937001 PMC: 10019984. DOI: 10.1016/j.crwh.2023.e00490.

Treatment of septate uterus.

Zhang B, Wu S, Zhao X, Tan L, Xu D Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022; 47(11):1487-1494.

PMID: 36481626 PMC: 10930620. DOI: 10.11817/j.issn.1672-7347.2022.220501.

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