Past Issue

Volume 13, Number 1, Apr-Jun 2019 Pages: 83-85

Double Cervix with Normal Uterus and Vagina - An Unclassified Müllerian Anomaly


Isabel Lobo Antunes, MBBS, 1, *, Cláudia Tomás, M.D, 2, Íris Bravo, M.D, 2, José Luís Metello, M.D, 2, Ana Quintas, M.D, 2, Pedro Sá e Melo, M.D, 3,
Gynaecology and Obstetrics Specialist Registrar, Hospital Garcia de Orta, Almada, Portugal
Gynaecology and Obstetrics Consultant, Hospital Garcia de Orta, Almada, Portugal
Gynaecology and Obstetrics Senior Consultant, Hospital Garcia de Orta, Almada, Portugal
*Corresponding Address: Gynaecology and Obstetrics Specialist Registrar Hospital Garcia de Orta Almada Portugal Email:iloboantunes@gmail.com

Abstract

Müllerian anomalies are very common, and a frequent cause of infertility. The most used classification system until now, proposed by the American Society for Reproductive Medicine in 1988, categorizes comprehensively uterine anomalies but fails to classify defects of the cervix or vagina. This is based on a developmental theory that postulates that müllerian duct fusion is unidirectional, beginning caudally and extending cranially, which does not account for isolated cervical or vaginal defects. More recently, the European Society of Human Reproduction and Embryology has developed a consensus, which allows for independent cervical anomalies. We present a case of a 39-year-old woman with secondary infertility, found to have a cervical duplication in an anteroposterior disposition, which puts into question the principles of embryology formerly known, but supports the theory that development happens in a segmentary fashion.