Hysteroscopic management of complete septate uterus with septate cervix, and longitudinal vaginal septum: a case report.
Nahida Hama Ameen Ahmed, Nasren Sharef Sabr, Rawa Bapir, Dilan S Hiwa, Ali H Hasan, Rawezh Q Salih, Soran H Tahir, Berun A Abdalla, Snur Othman, Fahmi H Kakamad
Author Information
Nahida Hama Ameen Ahmed: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Nasren Sharef Sabr: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Rawa Bapir: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Dilan S Hiwa: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Ali H Hasan: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Rawezh Q Salih: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Soran H Tahir: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Berun A Abdalla: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq.
Snur Othman: Kscien Organization for Scientific Research (Middle East office), Hamid Street, Azadi Mall, Sulaymaniyah, Kurdistan 46001, Iraq.
Fahmi H Kakamad: Smart Health Tower, Madam Mitterrand, Sulaymaniyah, Kurdistan 46001, Iraq. ORCID
Mullerian anomalies occur as a result of errors during embryogenesis. The estimated incidence of these anomalies is around 1% in the general population and 3% in women complaining of suboptimal reproductive outcomes and infertility. A 21-year-old female patient was referred to our hospital due to primary infertility for 18 months. After a proper history, physical examination and further diagnostic steps, including ultrasound and magnetic resonance imaging, a diagnosis of complete septate uterus with septate cervix and longitudinal vaginal septum was made. Following hysteroscopic resection of all the septa and two cycles of ovulation induction, the patient was able to conceive. However, she needed cervical cerclage later due to cervical insufficiency. The baby was delivered at term and was healthy. A uterine, cervical and longitudinal vaginal septum is a unique entity of Mullerian anomalies. Resection of all septa through a hysteroscopic approach resulted in a good outcome for our patient.
