Septate uterus with cervical duplication and longitudinal vaginal septum

Ribeiro, Sofia; Yamakami, Lucas Yugo Shiguehara; Tormena, Renata Assef; Pinheiro, Walter da Silva; Almeida, José Alcione Macedo; Baracat, Edmund Chada

doi:10.1590/s0104-42302010000200029

Cited by 18 publications

(16 citation statements)

References 8 publications

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“…Ribeiro et al [9] reviewed the cases of septate uterus, double cervix, and longitudinal vaginal septum, and the dysmenorrhea and infertility were the main symptoms in the majority of patients. Badalotti et al [5] described a spontaneous pregnancy, with a healthy newborn at term.…”

Section: Discussionmentioning

confidence: 99%

Vaginal Septoplasty in Septate Uterus with Double Cervix

Barbanti¹,

Chiamulera²,

Botelho³

2014

Case Reports in Obstetrics and Gynecology

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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.

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Section: Discussionmentioning

confidence: 99%

Vaginal Septoplasty in Septate Uterus with Double Cervix

Barbanti¹,

Chiamulera²,

Botelho³

2014

Case Reports in Obstetrics and Gynecology

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“…(2012)SeptateComplete septate uterusSeptateSeptateImperforate hymenImperforate hymenU 2b C 1 V 3 Acién et al (2009) (case 5) and Lev-Toaff et al (1992)SeptateComplete septate uterusBicervicalDouble normalNormalNormalU 2b C 2 V 0 Balasch et al (1996), Brown and Badawy (2013), Caliskan et al (2008), Celik and Mulayim (2012), Chang et al (2004), Duffy et al (2004), Fatum et al (2003), Guo et al (2011), Heinonen (2006), Hundley et al (2001), Ignatov et al (2008). La Fianza et al (1997), McBean and Brumsted (1994), Nigam et al (2010), Oakes et al (2010), Patton et al (2004), Pavone et al (2006), Ribeiro et al (2010), Saygili-Yilmaz et al (2004) and Wai et al (2001)SeptateComplete septate uterusCervical duplication or Double normalDouble normalSeptateLongitudinal non-obstructing vaginal septumU 2b C 2 V 1 Hur et al (2007), Fedele et al (2013) (10/87 cases) and Acién et al (2004c)*SeptateComplete septate uterusDouble cervicesDouble normalUnilaterally obstructed vaginal septumLongitudinal obstructing vaginal septumU 2b C 2 V 2 * In the case of Acién et al (2004c) associated malformation : an ectopic ureter joined to ipsilateral hemi-cervixCapito and Sarnacki (2009)*, Gupta et al (2007)*, Hucke et al (1992) (2/3 cases), Perino et al (1995), ...…”

Section: Resultsmentioning

confidence: 99%

The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system

et al. 2015

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STUDY QUESTIONHow comprehensive is the recently published European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) classification system of female genital anomalies?SUMMARY ANSWERThe ESHRE/ESGE classification provides a comprehensive description and categorization of almost all of the currently known anomalies that could not be classified properly with the American Fertility Society (AFS) system.WHAT IS KNOWN ALREADYUntil now, the more accepted classification system, namely that of the AFS, is associated with serious limitations in effective categorization of female genital anomalies. Many cases published in the literature could not be properly classified using the AFS system, yet a clear and accurate classification is a prerequisite for treatment.STUDY DESIGN, SIZE AND DURATIONThe CONUTA (CONgenital UTerine Anomalies) ESHRE/ESGE group conducted a systematic review of the literature to examine if those types of anomalies that could not be properly classified with the AFS system could be effectively classified with the use of the new ESHRE/ESGE system. An electronic literature search through Medline, Embase and Cochrane library was carried out from January 1988 to January 2014. Three participants independently screened, selected articles of potential interest and finally extracted data from all the included studies. Any disagreement was discussed and resolved after consultation with a fourth reviewer and the results were assessed independently and approved by all members of the CONUTA group.PARTICIPANTS/MATERIALS, SETTING, METHODSAmong the 143 articles assessed in detail, 120 were finally selected reporting 140 cases that could not properly fit into a specific class of the AFS system. Those 140 cases were clustered in 39 different types of anomalies.MAIN RESULTS AND THE ROLE OF CHANCEThe congenital anomaly involved a single organ in 12 (30.8%) out of the 39 types of anomalies, while multiple organs and/or segments of Müllerian ducts (complex anomaly) were involved in 27 (69.2%) types. Uterus was the organ most frequently involved (30/39: 76.9%), followed by cervix (26/39: 66.7%) and vagina (23/39: 59%). In all 39 types, the ESHRE/ESGE classification system provided a comprehensive description of each single or complex anomaly. A precise categorization was reached in 38 out of 39 types studied. Only one case of a bizarre uterine anomaly, with no clear embryological defect, could not be categorized and thus was placed in Class 6 (un-classified) of the ESHRE/ESGE system.LIMITATIONS, REASONS FOR CAUTIONThe review of the literature was thorough but we cannot rule out the possibility that other defects exist which will also require testing in the new ESHRE/ESGE system. These anomalies, however, must be rare.WIDER IMPLICATIONS OF THE FINDINGSThe comprehensiveness of the ESHRE/ESGE classification adds objective scientific validity to its use. This may, therefore, promote its further dissemination and acceptance, which will have a positive outcome in clinical care a...

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“…It provides high resolution images of uterine body, fundus and internal structures. [3] Intrvenous pyelography should be done to detect associated anomalies of genitourinary tract. The differential diagnosis of transverse vaginal septum includes imperforate hymen, cervical dysgenesis, and vaginal agenesis.…”

Section: Discussionmentioning

confidence: 99%

Complete imperforate tranverse vaginal septum with septate uterus: A rare anomaly

et al. 2013

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The isolated, complete, transverse vaginal septum is one of the most infrequent anomalies of the female genital tract, and when it coexists with a septate uterus, it is even rarer. This report describes a case of transverse vaginal septum with septate uterus. A 12-year-old girl sought medical assessment because of severe cyclic lower abdominal cramping and pelvic pain. Local examination revealed a blind vaginal pouch of 2 cm and on rectal examination a tender pelvic mass was noted. Radiological examination showed transverse vaginal septum in the lower vagina with bicornuate uterus. Surgical resection of the vaginal septum was done under laparoscopic guidance. Hysteroscopy revealed presence of uterine septum which was resected by a resectoscope. Post-operative dilatation of vagina was done to prevent restenosis. Laparoscopic guided abdominoperineal approach is better in such a case as multiple mullerian anomalies may coexist with each other.

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Septate uterus with cervical duplication and longitudinal vaginal septum

Cited by 18 publications

References 8 publications

Vaginal Septoplasty in Septate Uterus with Double Cervix

Vaginal Septoplasty in Septate Uterus with Double Cervix

The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system

Complete imperforate tranverse vaginal septum with septate uterus: A rare anomaly

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