A normal uterus communicating with a double cervix and the vagina: a müllerian anomaly without any present classification

Fertil Steril. 2009 Mar;91(3):935.e1-3. doi: 10.1016/j.fertnstert.2008.09.042. Epub 2008 Nov 11.


Objective: To report a rare uterine anomaly consisting of a normal uterus, a double cervix, and a double vagina.

Design: Case report.

Setting: University hospital.

Patient(s): A 28-year-old nulligravida patient referred for evaluation of primary infertility and a suspected müllerian anomaly.

Intervention(s): Clinical and surgical evaluation of the anomaly.

Main outcome measure(s): Description and treatment for a rare uterine anomaly and a subsequent literature search.

Result(s): Successful resection of vaginal septum and subsequent pregnancy.

Conclusion(s): This extremely rare anomaly is not explained by classic embryologic teachings, and it does not fit into the classification system currently used to describe müllerian anomalies.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple* / pathology
  • Abnormalities, Multiple* / surgery
  • Adult
  • Cervix Uteri / abnormalities*
  • Cervix Uteri / surgery
  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Hysterosalpingography
  • Hysteroscopy
  • Infertility, Female / etiology*
  • Infertility, Female / pathology
  • Infertility, Female / therapy
  • Laparoscopy
  • Live Birth
  • Magnetic Resonance Imaging
  • Mullerian Ducts / abnormalities*
  • Pregnancy
  • Reproductive Techniques, Assisted
  • Treatment Outcome
  • Uterus / abnormalities*
  • Uterus / surgery
  • Vagina / abnormalities*
  • Vagina / surgery