Müllerian duct anomalies include a wide spectrum of genital tract defects resulting from a development alteration of the genital tract. An 11-year-old girl with a hybrid septate variety uterus with left hemi-obstruction was identified. Beside preoperative imaging evaluation done with ultrasound, magnetic resonance, and hysterosalpingography, a combined laparoscopic and hysteroscopic procedure was fundamental for the diagnosis. The surgical procedure also allowed us to perform a successful and safe treatment. We propose that the American Fertility Society classification of these anomalies should be revised and that hybrid entities should be considered in the differential diagnosis of genital tract malformations.

译文

苗勒管异常包括由生殖道发育改变引起的广泛的生殖道缺陷。确定了一名11岁的女孩,该女孩患有杂种子宫,伴有左半梗阻。除了通过超声,磁共振和子宫输卵管造影进行术前影像学评估外,腹腔镜和宫腔镜联合手术是诊断的基础。外科手术也使我们能够进行成功且安全的治疗。我们建议应修订美国生育协会对这些异常的分类,并应在生殖道畸形的鉴别诊断疾病中考虑混合实体。

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