Rare Müllerian Anomaly: Complete Septate Uterus with Simultaneous Longitudinal and Transverse Vaginal Septa

Erica D. Louden, Awoniyi O. Awonuga, Laura A. Gago, Manvinder Singh

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: We present a patient with primary amenorrhea and a rare combination of anomalies. She was found to have a septate uterus, double cervix, and a longitudinal and a low transverse vaginal septum. Case: An 18-year-old girl with primary amenorrhea presented with severe monthly pelvic pain. Examination and imaging revealed a thin transverse vaginal septum, complete septate uterus, double cervix, and a longitudinal vaginal septum. The transverse and longitudinal vaginal septa were excised and repaired. Summary and Conclusion: Although repetitive pregnancy loss and preterm birth are associated with various Müllerian duct anomalies, clinicians should also be suspicious of the presented anomaly in cases of primary amenorrhea and cyclic pelvic pain. To our knowledge, this is the only case of simultaneous septate uterus with longitudinal and transverse vaginal septum and the second case of combined longitudinal and transverse septum, which caused primary amenorrhea. This rare anomaly further supports the bidirectional regression theory of Müllerian development.

Original languageEnglish (US)
Pages (from-to)e189-e191
JournalJournal of Pediatric and Adolescent Gynecology
Volume28
Issue number6
DOIs
StatePublished - Dec 2015
Externally publishedYes

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Amenorrhea
Uterus
Pelvic Pain
Cervix Uteri
Premature Birth
Pregnancy

Keywords

  • Mullerian anomalies
  • Pelvic pain
  • Pimary amenorrhea
  • Septate uterus
  • Vaginal septum

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Rare Müllerian Anomaly : Complete Septate Uterus with Simultaneous Longitudinal and Transverse Vaginal Septa. / Louden, Erica D.; Awonuga, Awoniyi O.; Gago, Laura A.; Singh, Manvinder.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 28, No. 6, 12.2015, p. e189-e191.

Research output: Contribution to journalArticle

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abstract = "Background: We present a patient with primary amenorrhea and a rare combination of anomalies. She was found to have a septate uterus, double cervix, and a longitudinal and a low transverse vaginal septum. Case: An 18-year-old girl with primary amenorrhea presented with severe monthly pelvic pain. Examination and imaging revealed a thin transverse vaginal septum, complete septate uterus, double cervix, and a longitudinal vaginal septum. The transverse and longitudinal vaginal septa were excised and repaired. Summary and Conclusion: Although repetitive pregnancy loss and preterm birth are associated with various M{\"u}llerian duct anomalies, clinicians should also be suspicious of the presented anomaly in cases of primary amenorrhea and cyclic pelvic pain. To our knowledge, this is the only case of simultaneous septate uterus with longitudinal and transverse vaginal septum and the second case of combined longitudinal and transverse septum, which caused primary amenorrhea. This rare anomaly further supports the bidirectional regression theory of M{\"u}llerian development.",
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