Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Feb 24:37:e00490.
doi: 10.1016/j.crwh.2023.e00490. eCollection 2023 Mar.

A woman with a normal uterus and duplicated cervices: A case report and review of a Müllerian anomaly

Affiliations
Case Reports

A woman with a normal uterus and duplicated cervices: A case report and review of a Müllerian anomaly

Kinjal Mukesh Mehta et al. Case Rep Womens Health. .

Abstract

Müllerian duct anomalies (MDAs) are common and can lead to problems with menstrual flow, pregnancy, and fertility. This is a case report of a 21-year-old woman with an incidentally found bicollis uterus with vaginal septum, which challenges the previously held principles of embryology and further supports the current theories that explain these transitional forms of female reproductive anomalies. Due to the irregularity found during the physical examination, detailed imaging with magnetic resonance helped to delineate the anatomy of the reproductive system and genitourinary (GU) tract, uncovering and confirming the anatomical abnormality. Due to the concern for future implications, especially during pregnancy, surgical excision of the vaginal septum was performed. This unique anomaly bolsters a discussion on the outcomes and implications of these unknown rare anomalies in various settings.

Keywords: Female infertility; Female tract; Genitourinary abnormalities; Müllerian anomalies.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Magnetic resonance images of a normal uterine cavity with duplicated cervix. A) two external cervical ostia. B) Normal upper uterine cavity and two external ostia. C) Duplicated upper vagina.

References

    1. Lobo Antunes I., Tomás C., Bravo Í., Metello J.L., Quintas A., Sá E., Melo P. Double Cervix with Normal Uterus and Vagina - An Unclassified Müllerian Anomaly. Int. J. Fertil. Steril. 2019 Apr;13(1):83–85. doi: 10.22074/ijfs.2019.5524. Epub 2019 Jan 6. PMID: 30644250; PMCID: PMC6334021. - DOI - PMC - PubMed
    1. Zafarani F., Ahmadi F., Shahrzad G. Hysterosalpingography in the assessment of congenital cervical anomalies. Int. J. Fertil. Steril. 2017 Jul-Sep;11(2):71–78. doi: 10.22074/ijfs.2017.4716. (Epub 2017 Feb 16. PMID: 28670423; PMCID: PMC5347453) - DOI - PMC - PubMed
    1. Acién P., Acién M. The presentation and management of complex female genital malformations. Hum. Reprod. Update. 2016 Jan-Feb;22(1):48–69. doi: 10.1093/humupd/dmv048. Epub 2015 Nov 3. PMID: 26537987. - DOI - PubMed
    1. Wai C.Y., Zekam N., Sanz L.E. Septate uterus with double cervix and longitudinal vaginal septum. A case report. J. Reprod. Med. 2001 Jun;46(6):613–617. (PMID: 11441691) - PubMed
    1. Acién P., Acién M., Sanchez-Ferrer M.L. Müllerian anomalies “without a classification”: from the didelphys-unicollis uterus to the bicervical uterus with or without septate vagina. Fertil. Steril. 2009;91(6):2369–2375. - PubMed

Publication types