Hundley A F, Fielding J R, Hoyte L
Department of Obstetrics and Gynecology, Whittier St. Health Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Obstet Gynecol. 2001 Nov;98(5 Pt 2):982-5. doi: 10.1016/s0029-7844(01)01559-9.
The case of an unusual müllerian anomaly is described.
A nulligravida was found to have a septate uterus with double cervix and a vagina with partial longitudinal vaginal septum. The anomaly presented symptomatically, was suggested by clinical examination, and confirmed by magnetic resonance imaging and intraoperative visualization. Visualization of the anomaly was enhanced by magnetic resonance-based three-dimensional reconstruction techniques.
Description of double cervix and vagina in the setting of an anatomically normal or simple septate uterus is uncommon. This anomaly is inconsistent with the generally accepted understanding of müllerian development but fits with an alternative hypothesis. Magnetic resonance imaging and magnetic resonance-based three-dimensional reconstruction was useful in aiding visualization of the anomaly.
本文描述了一例罕见的苗勒管异常病例。
一名未孕女性被发现患有双宫颈纵隔子宫以及伴有部分纵向阴道隔的阴道。该异常有症状表现，经临床检查提示，并通过磁共振成像和术中观察得以确诊。基于磁共振的三维重建技术增强了对该异常的观察效果。
在解剖结构正常或单纯纵隔子宫情况下出现双宫颈和阴道的描述并不常见。这种异常与普遍接受的苗勒管发育认知不符，但符合另一种假说。磁共振成像和基于磁共振的三维重建有助于观察该异常。
