Morales-Roselló José, Peralta Llorens Núria
Clínica Morales, C/Trafalgar 46 10 2a, 46023 Valencia, Spain.
Case Rep Med. 2011;2011:303828. doi: 10.1155/2011/303828. Epub 2011 Jul 7.
We report a very uncommon uterine anomaly consisting on a normal uterus, a double cervix with an anteroposterior disposition, and absence of vaginal septum. A 36-years-old woman with one child and absence of past reproductive disorders was examined for a routine checkup. Clinical and transvaginal ultrasound examinations showed a normal uterus with a double cervix disposed in an anteroposterior fashion with the absence of vaginal septum. A review of the theories concerning müllerian fusion is done, and implications of this case in relation with these theories are discussed. This is the first case of a normal uterus with a double cervix situated in an anteroposterior fashion and absence of vaginal septum. This case is in concordance with theories that consider the fusion of the caudal part of Müllerian ducts to be the result of a complex process. It proves that at least in some cases the most caudal part of müllerian ducts is fused in an anteroposterior disposition.
我们报告了一种非常罕见的子宫异常情况,包括一个正常子宫、一个呈前后位排列的双宫颈,且无阴道纵隔。一名36岁育有一孩且既往无生殖系统疾病的女性接受了常规体检。临床及经阴道超声检查显示子宫正常,双宫颈呈前后位排列,无阴道纵隔。本文对有关苗勒管融合的理论进行了综述,并讨论了该病例与这些理论的相关性。这是首例具有前后位排列的双宫颈且无阴道纵隔的正常子宫病例。该病例与认为苗勒管尾部融合是一个复杂过程结果的理论相符。它证明至少在某些情况下,苗勒管的最尾端部分是以前后位排列融合的。