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A complex malformation of the uterus: report of a tricavitated uterus
Titia Jolenta Medema1, Judith J Dekker, Velja Mijatovic
1Department of Gynecology, Boven IJ Hospital, Amsterdam, The Netherlands. tmedema@bovenij.nl
Objective:
To report a case of a previously unknown anomaly of the uterus in a patient suffering from primary infertility.
Design:
Case report.
Setting:
University Medical Center.
Patient(S):
A woman with a tricavitated uterus.
Intervention(S):
During laparotomy both spherical structures and tubes were removed.
Main Outcome Measure(S):
Hysterosalpingography showed nonpatent tubes and dilatation in the proximal part of the tubes. By ultrasound, two spherical-shaped structures were found with a density resembling the density of myometrium and an inner lining similar to the endometrium.
Result(S):
Pathologic examination revealed that both spherical structures consisted of uterine muscle on the outside and functional endometrium on the inside. After two IVF cycles the patient became pregnant and delivered a healthy baby boy by cesarean section.
Conclusion(S):
The pathogenesis of this tricavitated anomaly of the uterus is discussed, but cannot be clearly explained, according to the classification for uterine malformations by the American Fertility Society.
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