An unusual complex mullerian anomaly: case report

Authors

  • Anshika Lekhi Department of Gynae Endoscopy, Manchanda’s Endoscopic Centre, New Delhi, India
  • Rahul Manchanda Department of Gynae Endoscopy, Manchanda’s Endoscopic Centre, New Delhi, India
  • Sravani Chithra Department of Gynae Endoscopy, Manchanda’s Endoscopic Centre, New Delhi, India
  • Nidhi Jain Department of Gynae Endoscopy, Manchanda’s Endoscopic Centre, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161447

Keywords:

Congenital, Classification, Mullerian duct, Uterine anomalies

Abstract

Congenital anomalies are a result of defect in the normal process of embryonic formation of organs. When more than 1 complete or incomplete defect coexists, they lead to formation of a complex anomaly. Here we report a case of an unusual and unclassified complex uterine anomaly and its management. To the best of our knowledge such a case has not been reported till date in the literature. The authors also reinstate the need for classifying these unusual anomalies.

References

Simon C, Martinez L, Pardo F, Tortajada M, Pellicer A. Mullerian defects in women with normal reproductive outcome. Fertil Steril. 1991;56:1192-3.

Makino T, Hara T, Oka C, Toyoshima K, Sugi T, Iwasaki K, Umeuchi M, Iizuka R. Survey of 1120 Japanese women with a history of recurrent spontaneous abortions. Eur J Obstet Gynecol Reprod Biol. 1992;44(2):123-30.

Makino T, Umeuchi M, Nakada K, Nozawa S, Iizuka R. Incidence of congenital uterine anomalies in repeated reproductive wastage and prognosis for pregnancy after metroplasty. Int J Fertil. 1992; 37(3):167-70.

Clifford K, Rai R, Watson H, Regan L. An informative protocol for the investigation of recurrent miscarriage: preliminary experience of 500 consecutive cases. Hum Reprod. 1994;9:1328-32.

Acien P. Uterine anomalies and recurrent miscarriage. Infertil Reprod Med Clin North Am. 1996;7:689-719.

Homer HA, Li TC, Cooke ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril 2000;73:1-14.

Filho HAG, Mattar R, Pires CR, Araujo E Jr, Moron AF, Nardozza LMM. Comparison of hysterosalpingography, hysterosonography and hysteroscopy in evaluation of the uterine cavity in patients with recurrent pregnancy losses. Arch Gynecol Obstet. 2006;274(5):284-8.

Filho HAG, Mattar R, Pires CR, Araujo E Jr, Moron AF, Nardozza LMM. Prevalence of uterine defects in habitual abortion patients attended on at a university health service in brazil. Arch Gynecol Obstet. 2006;274:345-8.

Acien P, Acien MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update. 2011;17(5):693-705.

Buttram VC, Gomel V, Siegler A, DeCherney A, Gibbons W, March C. The american fertility society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944-55.

Oppelt P, Renner SP, Brucker S, Strissel PL, Strick R, Oppelt PG, et al. The VCUAM (Vagina Cervix Uterus Adnexa associated Malformation) classification: a new classification for genital malformations. Fertil Steril. 2005;84(5):1493-7.

Salim R, Woelfer B, Backos M, Regan L, Jurkovic D. Reproducibility of three dimensional ultrasound diagnosis of congenital uterine anomalies. Ultrasound Obstet Gynecol. 2003;21(6):578-82.

Deutch TD, Abuhamad AZ. The role of 3-dimensional ultrasonography and magnetic resonance imaging in the diagnosis of mullerian duct anomalies a review of the literature. J Ultrasound Med. 2008;27(3):413-23.

Troiano RN. Magnetic resonance imaging of mullerian duct anomalies of the uterus. Top Magn Reson Imag. 2003;14(4):269-79.

Bermejo C, Martinez Ten P, Cantarero R, Diaz D, Pedregosa JP, Barrn E, et al. Three dimensional ultrasound in the diagnosis of mullerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2010;35 (5):593-601.

Umobi MA, Meltz RC, Barmat LI. Accessory uterine appendage may be a new mullerian malformation. Fertil Steril. 2005;84(4):1017.

Woelfer B, Salim R, Banerjee S, Elson J, Regan L, Jurkovic D. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol. 2001;98(6):1099-103.

Brown SJ, Badawy SZ. A rare mullerian duct anomaly not included in the classification system by the american society for reproductive medicine. Case Rep Obstet Gynecol. 2013;2013:569480.

Deffarges JV, Haddad B, Musset R, Paniel BJ. Utero-vaginal anastomosis in women with uterine cervix atresia: long-term follow-up and reproductive performance. a study of 18 cases. Hum Reprod. 2001;16(8):1722-5.

Pavone ME, King JA, Vlahos N. Septate uterus with cervical duplication and a longitudinal vaginal septum: a mullerian anomaly without a classification. Fertil Steril. 2006;85(2):494. e9-e10.

Troiano RN, McCarthy SM. Mullerian duct anomalies: imaging and clinical issues. Radiology. 2004;233(1):19-34.

Grimbizis GF, Gordts S, Sardo A, Brucker S, De Angelis C, Gergolet M, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28(8):2032-44.

Sadek SM, Ahmad RA, Atia H. Performance of the ESHRE/ESGE classification. Middle East Fertil Soc J. 2016:75-81.

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Published

2017-01-05

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Case Reports