Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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A septate uterus with double cervix during two pregnancies: pregnancy outcome before and after cervix sparing metroplasty. A case report

E.B. Seljeflot 1, Ø.E. Nytun 1, S.B. Kjøtrød 1, M. Gergolet 2

1 Departement of Obstetrics and Gynaecology, St.Olavs hospital, Trondheim University Hospital, Norway;
2 General Hospital Dr Franc Derganc Nova Gorica, Padlih borcev 13, 5000 Šempeter pri Gorici, Slovenia.

Keywords:

Cervix sparing metroplasty, Congenital uterine anomaly, Hysteroscopy, Premature delivery, 3D ultrasound


Published online: Aug 05 2020

Abstract

In this case report we present a patient with different pregnancy outcomes after IVF treatments. After an extremely premature delivery in her first pregnancy, a vaginal 3D ultrasound scan revealed a correct diagnosis for her uterine anomaly: A complete uterine septum, double cervix and non-obstructive longitudinal vaginal septum, classified as U2bC2V1 according to the European Society of Human Reproduction and EmbryologyEuropean Society for Gynaecological Endoscopy (ESHRE-ESGE)-classification. She underwent a cervix sparing metroplasty and had a spontaneous vaginal birth at 41+2 weeks gesttation. For patients with otherwise unexplained infertility or earlier premature delivery, a diagnostic workup, oriented to the research of uterine malformations, should be taken into consideration.