ABSTRACT

Cervical duplication with a longitudinal vaginal septum and a complete uterine septum is a congenital malformation rarely encountered in general gynecologic practice. A 25-year-old nulliparous woman with a presenting complaint of dyspareunia and desire for fertility was referred for evaluation. A longitudinal vaginal septum and septate uterus with double cervix was diagnosed by combined hysteroscopy and laparoscopy. After the excision of the complete longitudinal vaginal septum, corporal part of a complete uterine septum was hysteroscopically perforated using electrocautery by the help of a balloon introduced into the second cavity and then incised with no problems. The septum was spared below the internal cervical os.