Abstract

The incidence of Müllerian duct anomalies in women is rare, associating with urinary tract anomalies such as horseshoe or pelvic kidney, renal agenesis, duplication of the collecting system, or ectopic uterus. Septate uterus is one type of congenital uterine anomalies, in which there is a septum from the fundus to the cervix. Currently, it is believed that hysteroscopic metroplasty is a leading choice for patients if their recurrent spontaneous abortion is resulted from septate uterus. But, some people refuse to have a surgery, and successfully delivery. In this case report, we report a successful pregnancy with two gestational sacs, one in each half-cavity, in a woman with septate uterus after transfer of three embryos into one half–cavity. Finally, the women gave birth to two healthy babies in our hospital.

Highlights

  • Septate uterus is one kind of uterine malformations, in which there is a septum from the fundus to the cervix

  • It is believed that hysteroscopic metroplasty is a leading choice for patients if their recurrent spontaneous abortion is resulted from septate uterus

  • Uterine malformations may associate with urinary tract malformations, which can be evaluated by transvaginal et al [13] found that the endometrium of the septa had decreased number of glandular ostia, the ratio between ciliated and non-ciliated cells, supporting that the abnormal endometrium on the lateral wall was a cause of primary infertility

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Summary

Introduction

Background Septate uterus is one kind of uterine malformations, in which there is a septum from the fundus to the cervix. A uterine septum is a result of abnormal lateral fusion of the paired Müllerian ducts during early embryologic development. It has been reported that septate uterus is associated with infertility, spontaneous abortion, premature delivery, and

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