Fertility and sterility · 2008
A complex malformation of the uterus: report of a tricavitated uterus.
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Medema Titia Jolenta, Dekker Judith J, Mijatovic Velja, van de Velde Wouter J, Schats Roel, Hompes Peter G
Аннотация
OBJECTIVE: To report a case of a previously unknown anomaly of the uterus in a patient suffering from primary infertility.
DESIGN: Case report.
SETTING: University Medical Center.
PATIENT(S): A woman with a tricavitated uterus.
INTERVENTION(S): During laparotomy both spherical structures and tubes were removed.
MAIN OUTCOME MEASURE(S): Hysterosalpingography showed nonpatent tubes and dilatation in the proximal part of the tubes. By ultrasound, two spherical-shaped structures were found with a density resembling the density of myometrium and an inner lining similar to the endometrium.
RESULT(S): Pathologic examination revealed that both spherical structures consisted of uterine muscle on the outside and functional endometrium on the inside. After two IVF cycles the patient became pregnant and delivered a healthy baby boy by cesarean section.
CONCLUSION(S): The pathogenesis of this tricavitated anomaly of the uterus is discussed, but cannot be clearly explained, according to the classification for uterine malformations by the American Fertility Society.
DESIGN: Case report.
SETTING: University Medical Center.
PATIENT(S): A woman with a tricavitated uterus.
INTERVENTION(S): During laparotomy both spherical structures and tubes were removed.
MAIN OUTCOME MEASURE(S): Hysterosalpingography showed nonpatent tubes and dilatation in the proximal part of the tubes. By ultrasound, two spherical-shaped structures were found with a density resembling the density of myometrium and an inner lining similar to the endometrium.
RESULT(S): Pathologic examination revealed that both spherical structures consisted of uterine muscle on the outside and functional endometrium on the inside. After two IVF cycles the patient became pregnant and delivered a healthy baby boy by cesarean section.
CONCLUSION(S): The pathogenesis of this tricavitated anomaly of the uterus is discussed, but cannot be clearly explained, according to the classification for uterine malformations by the American Fertility Society.