RECURRENT PREGNANCY LOSS IN COMPLETE SEPTATE UTERUS WITH DUPLICATED CERVIX AND LONGITUDINAL VAGINAL SEPTUM: A CASE REPORT AND REVIEW OF THE LITERATURE

Problem Statement: Congenital uterine anomalies, including complete septate uterus with duplicated cervix and longitudinal vaginal septum, pose diagnostic and management challenges due to their rarity and complexity. Standardized diagnostic criteria and surgical approaches are lacking, leading to varied obstetric and perinatal outcomes.

Methods: A case report of a 26-year-old woman with recurrent pregnancy loss and a complex uterine anomaly was presented. Various diagnostic modalities, including 3D ultrasound, hysteroscopy, and laparoscopy, were used to accurately characterize the anomaly. Surgical intervention involved hysteroscopic resection of the uterine septum and diagnostic laparoscopy.

Results: The patient`s anomaly was characterized by a complete septate uterus, duplicated cervix, and longitudinal vaginal septum. Surgical intervention successfully resected the uterine septum, achieving a single uterine cavity. The patient`s postoperative recovery was uncomplicated, and she opted for expectant management for future pregnancies.

Conclusion: The rarity and diagnostic challenges of complex uterine anomalies highlight the need for a combined diagnostic approach involving various imaging and surgical techniques. Hysteroscopic metroplasty shows promise in improving obstetric outcomes and reducing the risk of pregnancy loss, but recent studies have shown that it should be done as a routine procedure. The importance of shared decision-making in determining the appropriate course of action is emphasized. Ongoing research is needed to refine diagnostic criteria, surgical techniques, and management strategies for these anomalies.