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

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. Patient(s): A 34-year-old nulligravida who underwent clinical, radiological, surgical and intrapartal workup. Intervention(s): Clinical examination and intrapartal surgical resection of vaginal septum followed by vaginal delivery. Main Outcome Measure(s): Description and treatment for a rare Müllerian anomaly and a subsequent literature search. Result(s): Successful intrapartal resection of longitudinal vaginal septum and double cervix followed by vaginal delivery without complication. Conclusion(s): 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

• Müllerian anomalies
• Complete septate uterus
• Double cervix
• Longitudinal vaginal septum
• Intrapartal surgical treatment
• Vaginal delivery