A septate uterus with double cervix during two pregnancies: pregnancy outcome before and after cervix sparing metroplasty. A case report
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Case Report
VOLUME: 12 ISSUE: 2
P: 149 - 152
June 2020

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

Facts Views Vis ObGyn 2020;12(2):149-152
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
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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.

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