IMR Press / CEOG / Volume 46 / Issue 6 / DOI: 10.12891/ceog4842.2019
Open Access Case Report
A patient with a didelphys vaginal septum and infertility diagnosed by laparoscopy and magnetic resonance imaging
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1 Department of Obstetrics and Gynecology, Asahikawa Medical University, Hokkaido, Japan
Clin. Exp. Obstet. Gynecol. 2019, 46(6), 988–989;
Published: 10 December 2019

Case Report: A 34-year-old woman presented with a desire to conceive. However, she could not participate in sexual intercourse because of severe vaginal pain. In vitro fertilization (IVF) was performed, and she achieved pregnancy. Although she could have had a twin pregnancy following IVF, one fetus was aborted. Results: Dilatation and curettage (D&C) was carried out with the patient under general anesthesia. The authors found a vaginal septum, which explained the severe vaginal pain upon attempting sexual intercourse. Although they carried out D&C, they were unable to completely remove the gestational sac. Diagnostic laparoscopy was then undertaken, revealing a duplicate uterus. Conclusion: This case indicates the need to be aware of the possibility of anomalies of the vagina and uterus when patients present with a disorder in sexual function. Clinicians should carefully listen to such patients’ complaints in clinical practice.

Duplicate uterus
In vitro fertilization
Laparoscopic diagnosis
Vaginal septum
Figure 1.
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