129 Uterus Septus Subtotalis Bicollis: A Rare Müllerian Duct Abnormality
Abstract Background Müllerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Müllerian ducts. The incidence of MDAs varies, with reports ranging from 0.16% to 10.00%. In patients with an adverse reproductive history...
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description | Abstract
Background
Müllerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Müllerian ducts. The incidence of MDAs varies, with reports ranging from 0.16% to 10.00%. In patients with an adverse reproductive history the prevalence is 8%-10%. Septate uterus is the most common of all MDAs, resulting from incomplete resorption of the medial septum after fusion of the Müllerian ducts has occurred. There are many types of septal variations, including septa extending from the uterine fundus to the internal cervical os (complete septum), as well as septa that do not fully extend to the os (partial septum). The combination of a complete uterine septum with a double cervix, and complete vaginal septum has been reported in a few case reports; however, in the majority of these reports, the uterine septum was a complete septum. We present the case of a patient with a partial uterine septum, as well as a double cervix and complete vaginal septum.
Case
The patient was a 23-year-old G0, with a history of dysmenorrhea and dysfunctional uterine bleeding. An exploratory laparoscopy showed severe endometriosis and peritoneal adhesions. MRI findings were interpreted as bicornuate bicollis uterus. Given the extreme pelvic pain, the patient underwent an elective TAH and BSO. Pathologic examination showed a uterine septum that extended to above the lower uterine segment. The endometrium thus had two cavities communicating through the partial septum. Furthermore, two fused cervices were present. Our findings highlight an extremely rare type of MDA: a partially septate uterus with two cervices, which we refer to as uterus septus subtotalis bicollis. This case highlights a rare MDA that is not widely described in the literature. Recognition of the various types of MDAs is important as it informs and challenges our understanding of Müllerian development. |
doi_str_mv | 10.1093/ajcp/aqx119.128 |
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Background
Müllerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Müllerian ducts. The incidence of MDAs varies, with reports ranging from 0.16% to 10.00%. In patients with an adverse reproductive history the prevalence is 8%-10%. Septate uterus is the most common of all MDAs, resulting from incomplete resorption of the medial septum after fusion of the Müllerian ducts has occurred. There are many types of septal variations, including septa extending from the uterine fundus to the internal cervical os (complete septum), as well as septa that do not fully extend to the os (partial septum). The combination of a complete uterine septum with a double cervix, and complete vaginal septum has been reported in a few case reports; however, in the majority of these reports, the uterine septum was a complete septum. We present the case of a patient with a partial uterine septum, as well as a double cervix and complete vaginal septum.
Case
The patient was a 23-year-old G0, with a history of dysmenorrhea and dysfunctional uterine bleeding. An exploratory laparoscopy showed severe endometriosis and peritoneal adhesions. MRI findings were interpreted as bicornuate bicollis uterus. Given the extreme pelvic pain, the patient underwent an elective TAH and BSO. Pathologic examination showed a uterine septum that extended to above the lower uterine segment. The endometrium thus had two cavities communicating through the partial septum. Furthermore, two fused cervices were present. Our findings highlight an extremely rare type of MDA: a partially septate uterus with two cervices, which we refer to as uterus septus subtotalis bicollis. This case highlights a rare MDA that is not widely described in the literature. Recognition of the various types of MDAs is important as it informs and challenges our understanding of Müllerian development.</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/ajcp/aqx119.128</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Case reports ; Cervix ; Congenital defects ; Endometriosis ; Endometrium ; Hysterectomy ; Laparoscopy ; Magnetic resonance imaging ; Muellerian duct ; Peritoneum ; Septum ; Uterus ; Vagina</subject><ispartof>American journal of clinical pathology, 2018-01, Vol.149 (suppl_1), p.S56-S56</ispartof><rights>American Society for Clinical Pathology, 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2018</rights><rights>American Society for Clinical Pathology, 2018. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1908-7b143d801490c9328bbeefe7ff03944b3ed296f4f64be88c7d0f827cea3e0f733</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids></links><search><creatorcontrib>Monroig-Bosque, Paloma del C</creatorcontrib><creatorcontrib>Okoye, Ekene I</creatorcontrib><title>129 Uterus Septus Subtotalis Bicollis: A Rare Müllerian Duct Abnormality</title><title>American journal of clinical pathology</title><description>Abstract
Background
Müllerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Müllerian ducts. The incidence of MDAs varies, with reports ranging from 0.16% to 10.00%. In patients with an adverse reproductive history the prevalence is 8%-10%. Septate uterus is the most common of all MDAs, resulting from incomplete resorption of the medial septum after fusion of the Müllerian ducts has occurred. There are many types of septal variations, including septa extending from the uterine fundus to the internal cervical os (complete septum), as well as septa that do not fully extend to the os (partial septum). The combination of a complete uterine septum with a double cervix, and complete vaginal septum has been reported in a few case reports; however, in the majority of these reports, the uterine septum was a complete septum. We present the case of a patient with a partial uterine septum, as well as a double cervix and complete vaginal septum.
Case
The patient was a 23-year-old G0, with a history of dysmenorrhea and dysfunctional uterine bleeding. An exploratory laparoscopy showed severe endometriosis and peritoneal adhesions. MRI findings were interpreted as bicornuate bicollis uterus. Given the extreme pelvic pain, the patient underwent an elective TAH and BSO. Pathologic examination showed a uterine septum that extended to above the lower uterine segment. The endometrium thus had two cavities communicating through the partial septum. Furthermore, two fused cervices were present. Our findings highlight an extremely rare type of MDA: a partially septate uterus with two cervices, which we refer to as uterus septus subtotalis bicollis. This case highlights a rare MDA that is not widely described in the literature. Recognition of the various types of MDAs is important as it informs and challenges our understanding of Müllerian development.</description><subject>Case reports</subject><subject>Cervix</subject><subject>Congenital defects</subject><subject>Endometriosis</subject><subject>Endometrium</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>Magnetic resonance imaging</subject><subject>Muellerian duct</subject><subject>Peritoneum</subject><subject>Septum</subject><subject>Uterus</subject><subject>Vagina</subject><issn>0002-9173</issn><issn>1943-7722</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkEtLAzEUhYMoWKtrtwF3wrQ3DyaJu1pfhYqgdh2SNIEp0840yYD9b-78Y04Z967OXXznXPgQuiYwIaDY1GxcOzX7L0LUhFB5gkZEcVYIQekpGgEALRQR7BxdpLQB6BHgI7QgVOFV9rFL-MO3-RidzU02dZXwfeWauj_u8Ay_m-jx6893XftYmR1-6FzGM7tr4rZn8-ESnQVTJ3_1l2O0enr8nL8Uy7fnxXy2LBxRIAthCWdrCYQrcIpRaa33wYsQgCnOLfNrqsrAQ8mtl9KJNQRJhfOGeQiCsTG6GXbb2Ow7n7LeNF3c9S81ZSVTVEhJe2o6UC42KUUfdBurrYkHTUAffemjLz340r2MvnE7NJqu_Rf-BegPbTs</recordid><startdate>20180111</startdate><enddate>20180111</enddate><creator>Monroig-Bosque, Paloma del C</creator><creator>Okoye, Ekene I</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20180111</creationdate><title>129 Uterus Septus Subtotalis Bicollis: A Rare Müllerian Duct Abnormality</title><author>Monroig-Bosque, Paloma del C ; Okoye, Ekene I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1908-7b143d801490c9328bbeefe7ff03944b3ed296f4f64be88c7d0f827cea3e0f733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Case reports</topic><topic>Cervix</topic><topic>Congenital defects</topic><topic>Endometriosis</topic><topic>Endometrium</topic><topic>Hysterectomy</topic><topic>Laparoscopy</topic><topic>Magnetic resonance imaging</topic><topic>Muellerian duct</topic><topic>Peritoneum</topic><topic>Septum</topic><topic>Uterus</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Monroig-Bosque, Paloma del C</creatorcontrib><creatorcontrib>Okoye, Ekene I</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>American journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monroig-Bosque, Paloma del C</au><au>Okoye, Ekene I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>129 Uterus Septus Subtotalis Bicollis: A Rare Müllerian Duct Abnormality</atitle><jtitle>American journal of clinical pathology</jtitle><date>2018-01-11</date><risdate>2018</risdate><volume>149</volume><issue>suppl_1</issue><spage>S56</spage><epage>S56</epage><pages>S56-S56</pages><issn>0002-9173</issn><eissn>1943-7722</eissn><abstract>Abstract
Background
Müllerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Müllerian ducts. The incidence of MDAs varies, with reports ranging from 0.16% to 10.00%. In patients with an adverse reproductive history the prevalence is 8%-10%. Septate uterus is the most common of all MDAs, resulting from incomplete resorption of the medial septum after fusion of the Müllerian ducts has occurred. There are many types of septal variations, including septa extending from the uterine fundus to the internal cervical os (complete septum), as well as septa that do not fully extend to the os (partial septum). The combination of a complete uterine septum with a double cervix, and complete vaginal septum has been reported in a few case reports; however, in the majority of these reports, the uterine septum was a complete septum. We present the case of a patient with a partial uterine septum, as well as a double cervix and complete vaginal septum.
Case
The patient was a 23-year-old G0, with a history of dysmenorrhea and dysfunctional uterine bleeding. An exploratory laparoscopy showed severe endometriosis and peritoneal adhesions. MRI findings were interpreted as bicornuate bicollis uterus. Given the extreme pelvic pain, the patient underwent an elective TAH and BSO. Pathologic examination showed a uterine septum that extended to above the lower uterine segment. The endometrium thus had two cavities communicating through the partial septum. Furthermore, two fused cervices were present. Our findings highlight an extremely rare type of MDA: a partially septate uterus with two cervices, which we refer to as uterus septus subtotalis bicollis. This case highlights a rare MDA that is not widely described in the literature. Recognition of the various types of MDAs is important as it informs and challenges our understanding of Müllerian development.</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/ajcp/aqx119.128</doi><oa>free_for_read</oa></addata></record> |
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subjects | Case reports Cervix Congenital defects Endometriosis Endometrium Hysterectomy Laparoscopy Magnetic resonance imaging Muellerian duct Peritoneum Septum Uterus Vagina |
title | 129 Uterus Septus Subtotalis Bicollis: A Rare Müllerian Duct Abnormality |
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