CASO FLASH
Algarve Médico, 2021; 15 (5): 48 – 51
FLASH CLINICAL CASE
A complete bicorporeal uterus – case report Ana Patrícia Dias Soares1, Carla Bahia2, Carla Granja1 1 2
. Serviço de Ginecologia e de Obstetrícia, Unidade de Portimão - Centro Hospitalar e Universitário do Algarve Serviço de Radiologia, Unidade de Portimão - Centro Hospitalar e Universitário do Algarve
soares.apatricia@gmail.com
Introduction
Clinical case
A complete bicorporeal uterus with double cervix and a
A 32-year old nulliparous woman was referred to a gynecology
longitudinal non-obstructive vaginal septum is a rare congenital Müllerian anomaly. The clinical case we report is from an infertile woman who was referred to our consultation due to suspicion of an adnexal mass. The investigation identified a congenital uterine anomaly (CUA) and a concomitant renal abnormality. Uterine malformations could be associated with negative obstetric outcomes. A careful gynecological examination combined with a two-dimensional ultrasound led to a suspicious diagnosis which should be confirmed.
appointment due to the suspicion of having an adnexal mass and primary infertility. A history of a systematic vaginal bleeding during the tampon use was reported. The gynecological examination showed a longitudinal nonobstructive vaginal septum and the presence of two cervix, figure 1. A two-dimensional ultrasound (2D US) in the secretory phase and a three-dimensional ultrasound (3D US) showed a complete bicorporeal uterus, normal ovaries and confirmed the presence of two uterine cervix, figure 2. According to the ESHRE/ ESGE1 Classification System, this malformation is classified as a complete bicorporeal uterus with double “normal” cervix and a longitudinal non-obstructive vaginal septum - U3bC2V1 (Didelphys uterus according to the AFS2 classification). A magnetic resonance imaging (MRI) confirmed the malformation and revealed the presence of kidneys with the usual location and preserved dimensions, raising the suspicion of right pyeloureteral junction syndrome with a 22mm renal pelvis dilatation.
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