Vaginal septoplasty in septate uterus with double cervix.

Samuel Barbanti,Nara Chiamulera,Beatriz Botelho

doi:10.1155/2014/367360

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.

Highlights

The anatomical disorders of the female reproductive system occur frequently ranging from congenital absence of the vagina or uterus, until fusion defects of the Mullerian ducts
Multiple anomalies involve the fusion of the Mullerian ducts, such as septate uterus, double cervix, and longitudinal vaginal septum
In the case of septate uterus with cervical duplication and longitudinal vaginal septum, the anomaly suggests a failure in the fusion of the distal Mullerian ducts

Summary

Introduction

The anatomical disorders of the female reproductive system occur frequently ranging from congenital absence of the vagina or uterus, until fusion defects of the Mullerian ducts. These changes are associated with genetic mutations, developmental disabilities, or environmental causes that have an effect on embryonic development stages [1]. Since McBean and Brumsted [3] described a similar case, the reports have suggested a change in the classical theory of unidirectional caudal to cephalic fusion of the Mullerian ducts In this context, this paper brings a rare case report of a patient with complete septate uterus with double cervix and longitudinal vaginal septum, submitted to the vaginal septoplasty

Case Presentation

Discussion