title: A complex malformation of the uterus: report of a tricavitated uterus.
abstract: 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.
authors.affiliation: Department of Gynecology, Boven IJ Hospital, Amsterdam, The Netherlands. tmedema@bovenij.nl
authors.forename: Titia Jolenta
authors.initials: TJ
authors.lastname: Medema
authors.forename: Judith J
authors.initials: JJ
authors.lastname: Dekker
authors.forename: Velja
authors.initials: V
authors.lastname: Mijatovic
authors.forename: Wouter J
authors.initials: WJ
authors.lastname: van de Velde
authors.forename: Roel
authors.initials: R
authors.lastname: Schats
authors.forename: Peter G
authors.initials: PG
authors.lastname: Hompes
mesh_terms: 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