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Case Reports
. 2016 Aug 12:11:1-4.
doi: 10.1016/j.crwh.2016.08.001. eCollection 2016 Jul.

Intrapartal resection of the double cervix and longitudinal vaginal septum after hysteroscopic resection of the complete uterine septum, resulting in a term vaginal delivery: A case report

Ingrid Marton  1   2 , Dubravko Habek  1   2 , Matija Prka  1   2 , Iva Marffy  3 , Milan Pavlovic  1
Affiliations
Case Reports

Intrapartal resection of the double cervix and longitudinal vaginal septum after hysteroscopic resection of the complete uterine septum, resulting in a term vaginal delivery: A case report

Ingrid Marton et al. Case Rep Womens Health. .

Abstract

Objective: To report a rare uterine anomaly of a septate uterus, double cervix and double vagina in patient who conceived spontaneously and delivered vaginaly.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, Zagreb University School of Medicine, Clinical Hospital "Sveti Duh", Zagreb, Croatia.

Patients: A 34-year-old nulligravida who underwent clinical, radiological, surgical and intrapartal workup.

Interventions: Clinical examination and intrapartal surgical resection of vaginal septum followed by vaginal delivery.

Main outcome measures: Description and treatment for a rare Müllerian anomaly and a subsequent literature search.

Results: Successful intrapartal resection of longitudinal vaginal septum and double cervix followed by vaginal delivery without complication.

Conclusions: Reconstructive surgical procedures may be considered for providing spontaneous pregnancies and intrapartal surgical technique could be taken into consideration in order to prevent unnecessary cesarean sections, upon strict estimation of the obstetrician.

Keywords: Complete septate uterus; Double cervix; Intrapartal surgical treatment; Longitudinal vaginal septum; Müllerian anomalies; Vaginal delivery.

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Figures

Fig. 1
Fig. 1
Status at admission: vaginal septum about 1 cm thick and both cervices dilated 2 cm, documented by transvaginal ultrasound.
Fig. 2
Fig. 2
a: Image shows both cervices dilated 3–4 cm and resection of vaginal septum. b: Resection of double cervix. c: Image shows intrapartal condition after described procedures and before subsequent amniotomy.
Fig. 3
Fig. 3
6 weeks after the delivery examination revealed single normal-appearing cervix.
See this image and copyright information in PMC

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