Double Cervix with Normal Uterus and Vagina - An Unclassified Müllerian Anomaly

International Journal of Fertility and Sterility

Cláudia Tomás¹  Íris Bravo¹  Ana Quintas¹  José Luís Metello¹  Pedro Sá e Melo²  Isabel Lobo Antunes³ 

[1] Gynaecology and Obstetrics Consultant, Hospital Garcia de Orta, Almada, Portugal;Gynaecology and Obstetrics Senior Consultant, Hospital Garcia de Orta, Almada, Portugal;Gynaecology and Obstetrics Specialist Registrar, Hospital Garcia de Orta, Almada, Portugal;

关键词: female infertility;    female tract;    müllerian anomaly;    urogenital abnormalities;   

DOI  :  10.22074/ijfs.2019.5524

来源: DOAJ

【 摘 要 】

Müllerian anomalies are very common, and a frequent cause of infertility. The most used classification system untilnow, proposed by the American Society for Reproductive Medicine in 1988, categorizes comprehensively uterineanomalies but fails to classify defects of the cervix or vagina. This is based on a developmental theory that postulatesthat müllerian duct fusion is unidirectional, beginning caudally and extending cranially, which does not account forisolated cervical or vaginal defects. More recently, the European Society of Human Reproduction and Embryologyhas developed a consensus, which allows for independent cervical anomalies. We present a case of a 39-year-oldwoman with secondary infertility, found to have a cervical duplication in an anteroposterior disposition, which putsinto question the principles of embryology formerly known, but supports the theory that development happens in asegmentary fashion.

【 授权许可】

Unknown