A 34 year old woman presented with primary infertility and duplication of the cervix and vagina. Laparoscopy demonstrated a normal uterus and hysterosalpingography revealed a normal uterine cavity communicating with both cervices. This rare Mullerian anomaly is inconsistent with our current understanding of Mullerian development. An alternative embryological mechanism is reviewed to account for...

Bicornuate Uterus is a type of lateral fusion disorder of the mullerian ducts. According to the American Fertility Society Classification of Mullerian Anomalies, bicornuate uterus is a class IV anomaly. Incidence of this anomaly varies. This may affect a woman's obstetric, as well as her gynecologic outcome. Here we present a 23 year primigravida at 38 weeks and 5 days gestation with footling b...

Mullerian duct anomalies may cause obstetric complications, such as postpartum hemorrhage (PPH) and placental adhesion anomalies. Uterine compression suture may be useful for controlling PPH (especially atony). In recent studies, uterine compression sutures have been used in placenta accreta. We report a case of PPH, a placenta accreta accompanying a large septae, treated with B-Lynch suture an...

Septate uterus is the most common structural anomaly of all mullerian defects. It is included in Class V of the AFS classification of anomalies of mullerian ducts. Fusion of the median septum of the mullerian ducts proceeds cephalad from the mullerian tubercle up to the junction of future round ligaments; shortly thereafter, the septum between the ducts is resorbed. Congenital defects can occur...

Mullerian duct abnormalities are congenital malformations that are easily missed and can lead to incorrect diagnosis and unnecessary operative procedures. In this case, a young female presented with cyclic pelvic pain that continued after previous surgical resection of an ovarian cyst. Further investigation with clinical examinations and multimodality imaging demonstrated ipsilateral renal agen...