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Case Report
Surgical management of 12-year-old with complete septate uterus with duplicated cervices and obstructed left hemivagina: A case report
1 Associate Professor, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
2 Assistant Professor, Department of Obstetrics and Gynecology, University of Wisconsin, Madison, WI; Fellow, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
3 Professor, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
Address correspondence to:
Monica W Rosen
MD, Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109,
USA
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Article ID: 100185Z08MR2024
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How to cite this article
Rosen MW, O’Brien K, Ferrell E, Randolph JF. Surgical management of 12-year-old with complete septate uterus with duplicated cervices and obstructed left hemivagina: A case report. J Case Rep Images Obstet Gynecol 2024;10(2):46–49.ABSTRACT
Introduction: When a patient with an obstructed hemivagina presents in childhood, either hormonal suppression or a staged procedure is proposed for management of the obstruction.
Case Report: This case report is a 12-year-old patient presenting for evaluation of hematocolpos with a complete septate uterus, duplicate cervices, bilateral kidneys, and obstructed left hemivagina who was surgically managed with a complete vaginal septum resection and hysteroscopic metroplasty in one procedure shortly after diagnosis.
Conclusion: This anomaly is not only rare, and the first presented in the literature, but it also importantly demonstrates that if desired by the family after a consideration of benefits and risks, resection of both vaginal and uterine septa can be safely performed in a young post-menarchal patient without the need for a staged procedure later in life.
Keywords: Hysteroscopic metroplasty, Obstructed hemivagina, Utero-cervical septum, Vaginal septum resection
SUPPORTING INFORMATION
Author Contributions
Monica W Rosen - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Katie O’Brien - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Emily Ferrell - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
John F Randolph - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Monica W Rosen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
