Mehta Kinjal Mukesh, Wilson Ellen Elizabeth
University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75390, USA.
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75390, USA.
Case Rep Womens Health. 2023 Feb 24;37:e00490. doi: 10.1016/j.crwh.2023.e00490. eCollection 2023 Mar.
Müllerian duct anomalies (MDAs) are common and can lead to problems with menstrual flow, pregnancy, and fertility. This is a case report of a 21-year-old woman with an incidentally found bicollis uterus with vaginal septum, which challenges the previously held principles of embryology and further supports the current theories that explain these transitional forms of female reproductive anomalies. Due to the irregularity found during the physical examination, detailed imaging with magnetic resonance helped to delineate the anatomy of the reproductive system and genitourinary (GU) tract, uncovering and confirming the anatomical abnormality. Due to the concern for future implications, especially during pregnancy, surgical excision of the vaginal septum was performed. This unique anomaly bolsters a discussion on the outcomes and implications of these unknown rare anomalies in various settings.
苗勒管异常（MDA）很常见，可导致月经、妊娠和生育方面的问题。本文报告一例21岁女性，偶然发现双宫颈子宫伴阴道纵隔，这对先前的胚胎学原理提出了挑战，并进一步支持了当前解释这些女性生殖系统异常过渡形式的理论。由于体格检查发现异常，磁共振成像等详细影像学检查有助于描绘生殖系统和泌尿生殖道的解剖结构，发现并确认解剖学异常。鉴于对未来影响的担忧，尤其是在妊娠期间，遂行阴道纵隔手术切除。这种独特的异常情况引发了关于这些未知罕见异常在不同情况下的结果和影响的讨论。
