Septate uterus and habitual abortion: a case report illustrating successful outcome of pregnancy after second metroplasty.

A case is reported of a woman with septate uterus who suffered failure of the first metroplasty. This measure was undertaken before any pregnancy; thereafter she had 12 consecutive miscarriages, and repeated hysterograms showed the presence of broad septum. A second metroplasty was performed 12.5 years after the first, and after two miscarriages she conceived and delivered a viable male infant after 32 weeks gestation. The thorough investigations, the indications and the correct technique for metroplasty are discussed, as well as the value of cervical cerclage in patients with malformed uterus. The strict indications and successful choice of technique in metroplasty are stressed as leading to good results after metroplasty.