Chang AS, Siegel CL, Moley KH, Ratts VS, Odem RR Septate uterus
with cervical duplication and longitudinal vaginal septum: a report of five new cases.
We found that the greatest proportion of patients with uterine malformations had septate uterus
The septate uterus
, the most common type of Mullerian anomaly, has been estimated to occur in 3%-7% of the general population.
Septal resorption may be arrested at any point, resulting in variable lengths of septum in the septate uterus
(2) and infrequently in the bicornuate uterus.
For instance, a septate uterus
is often treated with hysteroscopic resection of the septum, while women with bicornuate uteri are treated with a transabdominal metroplasty if they have a history of repeated pregnancy loss.
22% bicollis with septate vagina-3) Septate uterus
-complete septum from fundus to 5 9.
The fundal contour is normal in the septate uterus
, with a deep concavity (>1 cm) in didelphys and bicornuate uteri.
The cases with Unicornuate uterus with rudimentary horn with or without communication with the unicornuate cavity, Bicornuate uterus, Didelphys uterus and Septate uterus
were included in this study with their implications in respect to reproductive outcomes.
Figure 2a: A transvaginal USG showing septate uterus
Table 1: Comparison of Uterine Assessment Particulars HSG SHG Normal 14 12 Submucous fibroids 1 1 Other fibroids 0 2 Septate Uterus
3 3 Intrauterine Adhesions 2 2 Total 20 20 Table 2: Comparison of Tubal Patency with HSG Particulars HSG SHG Bilateral hydrosalpinx 7 8 (a) Spill 5 4 -Complete (b) No Spill 2 4 Agreement-80%(16) Hydrosalpinx & cornual 2 1 -partial agreement 15%(3) Block -total disagreement 5%(1) Bilateral cornual block 1 2 Bilateral free spill 10 9 Table 3: Comparison of Tubal Patency with Laparoscopy Particulars SSG Laparo- scopy Bilateral hydrosalpinx 11 11 (a) Spill 9 8 -Complete (b) No Spill 2 3 Agreement-27%(90) Hydrosalpinx & cornual 1 2 -partial agreement 2(6.
The terms interstitial and cornual pregnancies have been used interchangeably but the term cornual pregnancy usually denotes gestation in one horn of bicornuate or septate uterus
Plan of Management: Septal resection for septate uterus
, polypectomy in cases of endometrial polyp, adhesiolysis, tubal surgery, tubal cannulation for cases tubal blockage and ovarian drilling for PCOS was performed.