Intrapartal resection of the double cervix and longitudinal vaginal septum after hysteroscopic resection of the complete uterine septum, resulting in a term vaginal delivery: A case report.

OBJECTIVE

To report a rare uterine anomaly of a septate uterus, double cervix and double vagina in patient who conceived spontaneously and delivered vaginaly.

DESIGN

Case report.

SETTING

Department of Obstetrics and Gynecology, Zagreb University School of Medicine, Clinical Hospital "Sveti Duh", Zagreb, Croatia.

PATIENTS: A 34-year-old nulligravida who underwent clinical, radiological, surgical and intrapartal workup.

INTERVENTIONS: Clinical examination and intrapartal surgical resection of vaginal septum followed by vaginal delivery.

MAIN OUTCOME MEASURES: Description and treatment for a rare Müllerian anomaly and a subsequent literature search.

RESULTS

Successful intrapartal resection of longitudinal vaginal septum and double cervix followed by vaginal delivery without complication.

CONCLUSIONS

Reconstructive surgical procedures may be considered for providing spontaneous pregnancies and intrapartal surgical technique could be taken into consideration in order to prevent unnecessary cesarean sections, upon strict estimation of the obstetrician.