Endoscopic management of a case of complete septate uterus with unilateralpyometra

We report a case with an unusual mullerian anomaly: complete uterine septum and pyometra in the right hemicavity and pyocolpos along with a longitudin al vaginal septum, A patient with recurrent low-grade fever and lower abdom inal pain was admitted. Pyometra and pyocolpos were detected in the right u terine hemicavity and in the right hemivagina. The septa were resected, the cavities were irrigated, and the patient was treated with antibiotics. The patient conceived 8 months later. Patients with abnormal vaginal findings should be approached with caution; precise knowledge of urogenital anatomy and urogenital anomalies is necessary in the management of these patients.