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Communicating septate uterus with double cervix: a rare malformation
A S Lev-Toaff1, S S Kim, M E Toaff
1Department of Diagnostic Imaging, Temple University Hospital, Philadelphia, Pennsylvania.
Obstetrics and Gynecology
|May 1, 1992
Summary
This study details a rare septate communicating uterus with a double cervix, a uterine malformation. This finding aids understanding of complex uterine anomalies and infertility causes.
Area of Science:
- Reproductive Medicine
- Gynecologic Pathology
- Medical Imaging
Background:
- Communicating uteri are a class of uterine malformations with distinct uterocervical cavities linked by an isthmic communication.
- Nine specific types of communicating uteri have been previously described in medical literature.
Observation:
- A case of a septate communicating uterus with a double cervix, a rare uterine anomaly, was investigated.
- The patient presented with secondary infertility and a history of spontaneous abortion.
- Clinical examination revealed a double cervix, prompting further diagnostic workup.
Findings:
- Endovaginal sonography showed a normal fundal contour but a septum dividing the endometrial cavity into two, with two cervical canals.
- Hysterosalpingography confirmed the communicating uterus by demonstrating opacification of both hemicavities through the isthmic defect from each cervix.
- Laparoscopy verified the normal fundal contour, supporting the diagnosis of this specific uterine malformation.
Implications:
- This case represents the second documented instance of a septate communicating uterus with a double cervix.
- The etiology is hypothesized to involve failed fusion of the distal müllerian ducts and incomplete septal resorption.
- Understanding such rare uterine anomalies is crucial for diagnosing and managing infertility and pregnancy complications.