title: Leiomyoma on the septum of a septate uterus with double cervix and vaginal septum: a challenge to manage.
abstract: OBJECTIVE
  To describe the first case of a leiomyoma localized in the septum of a septate uterus that had cervical duplication and a longitudinal vaginal septum.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  A 43-year-old patient with primary infertility and complaint of menorrhagia.
  
  
  METHODS
  Laparotomy, adhesiolysis, myomectomy, and resection of the vaginal septum in the first operation. Hysteroscopic resection of the complete uterine septum in the second operation.
  
  
  METHODS
  Magnetic resonance imaging findings and two-step repair of the anomaly. Cervical length at second trimester.
  
  
  RESULTS
  Restoration of normal anatomy was achieved after correct diagnosis and a two-step operation procedure. A normal cervical length was measured at 26 weeks of gestation.
  
  
  CONCLUSIONS
  Large leiomyoma at rare localizations in the presence of uterine anomalies is a diagnostic challenge, but with available diagnostic technology and appropriate operations, successful results can be obtained.
authors.affiliation: Department of Obstetrics and Gynecology, Kocaeli University, Izmit, Turkey. dreraycaliskan@yahoo.com
authors.forename: Eray
authors.initials: E
authors.lastname: Caliskan
authors.forename: Yiğit
authors.initials: Y
authors.lastname: Cakiroglu
authors.forename: Erkan
authors.initials: E
authors.lastname: Turkoz
authors.forename: Aydin
authors.initials: A
authors.lastname: Corakci
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008954:Models, Biological; D019651:Plastic Surgery Procedures; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery