Complete uterine septum with cervical duplication, longitudinal vaginal septum and duplication of a renal collecting system - A case report

BACKGROUND: nle incidence of congenital uterine anomalies ill the general p opulation is estimated nt 0.001-10%. Mullerian defects are associated with an increased incidence of urinary anomalies, an increased risk of infertili ty, early pregnancy loss, premature rupture of membranes, preterm labor and malpresentation. CASE: A 34-year-old, infertile woman with a presumed diagnosis of uterine d idelphys ann a longitudinal vaginal septum was noted to have a thin, commun icating membrane separating the uterine horns on magnetic resonance imaging (MRI). A communication between these two horns was noten on hysterosalping ography (HSG). The diagnosis of complete uterine septum was therefore Estab lished. Uterine leiomyomata and a complete duplication of the right renal c ollecting system were also noted. CONCLUSION: Cases of complete uterine ann vaginal septum can be easily conf used with uterine didelphys. Mangement of these two mullerian anomalies is different, with surgical correction usually needed in cases of complete ute rine septum. The rise of pelvic ultrasound, MRI and HSG aided iii correctly diagnosing this unusual form of mullerian anomaly.