title: Pregnancy after hysteroscopic metroplasty under laparoscopy in a woman with complete septate uterus: a case report.
abstract: A 31-year-old nulligravid woman with a 3 year history of infertility visited our hospital. After consultation and a transvaginal ultrasound and MR imaging, her uterine anomaly was identified as complete septate uterus: class V (a) by the American Fertility Society (AFS). She had a doubled uterine cervix and a vaginal septum. Hysteroscopic metroplasty was performed with the aid of a laparoscopy. Both tubal patencies were confirmed with indigocarmine in a laparoscopic image. Laparoscopic electronic cautery was also done on the left ovarian endometrioma (stage 1 endometriosis; the revised American Society for Reproductive Medicine (rASRM) classification 4 point minimal). We distrained an intrauterine device in the uterine cavity and removed it after two cycles of menstruation. The patient subsequently became pregnant during her third menstrual cycle and the current progress of her pregnancy is favorable.
authors: Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Japan.
authors: Ryosuke
authors: R
authors: Tajiri
authors: Taeko
authors: T
authors: Ueda
authors: Yoko
authors: Y
authors: Aoyama
authors: Toshihide
authors: T
authors: Sakuragi
authors: Atsushi
authors: A
authors: Tohyama
authors: Keisuke
authors: K
authors: Okabe
authors: Hitomi
authors: H
authors: Nakagawa
authors: Yasuyuki
authors: Y
authors: Kinjo
authors: Toru
authors: T
authors: Hachisuga
mesh_terms: D000328:Adult; D004564:Electrocoagulation; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D010049:Ovarian Diseases / Q000601:surgery; D011247:Pregnancy; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery