Septate uterus with a double cervix and longitudinal vaginal septum.
OBJECTIVE
To report the clinical features of 9 cases and review the previously reported 8 cases of an uncommon müllerian anomaly, characterized by the presence of a complete uterine septum with cervical duplication and represent a a longitudinal vaginal septum.


METHODS
Retrospective clinical study.


RESULTS
Nine patients aged 21-32 presented to our clinic with complaints of dyspareunia, dysmenorrhea, and primary or secondary infertility. All 9 patients displayed a single uterus with smooth fundal contour, double cervix and longitudinal vaginal septum. Some additional abnormal findings were associated with these anomalies in some patients: polycystic ovaries in 3 cases and different degrees of endometriosis in 2 cases. Most of the patients had normal tubal patency.


CONCLUSIONS
According to a MEDLINE search, only 8 cases of septate uterus with cervical duplication and a longitudinal vaginal septum have been reported to date. We report 9 more cases, which suggest that this atypical septate uterus type is probably more frequent than reported. These cases support the bidirectional müllerian theory and may imply the presence of another type of mullerian anomaly.
Saygili-Yilmaz
Esra Selver
ES
Infertility Clinic, Zekai Tahir Burak Women's Health, Education and Research Hospital, Ankara, Turkey. hyilmaz@mail.cu.edu.tr
Erman-Akar
Munire
M
Bayar
Didem
D
Yuksel
Banu
B
Yilmaz
Zarif
Z
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002584:Cervix Uteri / Q000002:abnormalities*; D015331:Cohort Studies; D004412:Dysmenorrhea / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D015994:Incidence; D007247:Infertility, Female / Q000175:diagnosis / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D014564:Urogenital Abnormalities / Q000175:diagnosis* / Q000453:epidemiology; D014599:Uterus / Q000002:abnormalities*