Leiomyoma on the septum of a septate uterus with double cervix and vaginal septum: a challenge to manage.
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.
Caliskan
Eray
E
Department of Obstetrics and Gynecology, Kocaeli University, Izmit, Turkey. dreraycaliskan@yahoo.com
Cakiroglu
Yiğit
Y
Turkoz
Erkan
E
Corakci
Aydin
A
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