A complex malformation of the uterus: report of a tricavitated uterus.
OBJECTIVE
To report a case of a previously unknown anomaly of the uterus in a patient suffering from primary infertility.


METHODS
Case report.


METHODS
University Medical Center.


METHODS
A woman with a tricavitated uterus.


METHODS
During laparotomy both spherical structures and tubes were removed.


METHODS
Hysterosalpingography showed nonpatent tubes and dilatation in the proximal part of the tubes. By ultrasound, two spherical-shaped structures were found with a density resembling the density of myometrium and an inner lining similar to the endometrium.


RESULTS
Pathologic examination revealed that both spherical structures consisted of uterine muscle on the outside and functional endometrium on the inside. After two IVF cycles the patient became pregnant and delivered a healthy baby boy by cesarean section.


CONCLUSIONS
The pathogenesis of this tricavitated anomaly of the uterus is discussed, but cannot be clearly explained, according to the classification for uterine malformations by the American Fertility Society.
Medema
Titia Jolenta
TJ
Department of Gynecology, Boven IJ Hospital, Amsterdam, The Netherlands. tmedema@bovenij.nl
Dekker
Judith J
JJ
Mijatovic
Velja
V
van de Velde
Wouter J
WJ
Schats
Roel
R
Hompes
Peter G
PG
D000328:Adult; D002585:Cesarean Section; D005187:Fallopian Tubes / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007047:Hysterosalpingography; D007231:Infant, Newborn; D007247:Infertility, Female / Q000209:etiology* / Q000473:pathology / Q000601:surgery / Q000628:therapy; D010535:Laparoscopy; D050498:Live Birth; D008297:Male; D011247:Pregnancy; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery