Pregnancy After Hysteroscopic Metroplasty Under Laparoscopy in a Woman with Complete Septate Uterus: A Case Report

Ryosuke Tajiri, Ueda T, Taeko Ueda, Yoko Aoyama, Aoyama Y, Sakuragi T, Toshihide Sakuragi, Tohyama A, Atsushi Tohyama, Keisuke Okabe, Okabe K, Hitomi Nakagawa, Nakagawa H, Yasuyuki Kinjo, Kinjo Y, Hachisuga T, Toru Hachisuga
Journal of UOEH · 2015 · vol. 37(1) , pp. 17–22 · doi:10.7888/juoeh.37.17 · PMID:25787098 · W2046000072
article OA: closed CC0
🔓 Open OA copy Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details successful pregnancy after hysteroscopic metroplasty and laparoscopic ovarian endometrioma treatment in a nulligravid woman with a complete septate uterus.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This case report describes a 31-year-old nulligravid woman with a complete septate uterus (AFS class V(a)) featuring a doubled cervix and vaginal septum, evaluated using transvaginal ultrasound and MRI after a 3-year history of infertility. Hysteroscopic metroplasty was performed with laparoscopic assistance, including confirmation of bilateral tubal patency with indigo carmine, and laparoscopic electronic cautery of a left ovarian endometrioma classified as stage 1 (rASRM 4-point minimal). The patient was monitored after intrauterine device placement and removal, and became pregnant during her third menstrual cycle with favorable ongoing progress at the time of reporting. The paper’s main limitation is that it is a single-patient case report, so generalizability is limited. Relevance to endometriosis: the authors explicitly report treating a left ovarian endometrioma (minimal endometriosis) during the procedure, though the central focus is infertility management in a complete septate uterus, not endometriosis or adenomyosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

A 31-year-old nulligravid woman with a 3 year history of infertility visited our hospital. After consultation and a transvaginal ultrasound and MR imaging, her uterine anomaly was identified as complete septate uterus: class V (a) by the American Fertility Society (AFS). She had a doubled uterine cervix and a vaginal septum. Hysteroscopic metroplasty was performed with the aid of a laparoscopy. Both tubal patencies were confirmed with indigocarmine in a laparoscopic image. Laparoscopic electronic cautery was also done on the left ovarian endometrioma (stage 1 endometriosis; the revised American Society for Reproductive Medicine (rASRM) classification 4 point minimal). We distrained an intrauterine device in the uterine cavity and removed it after two cycles of menstruation. The patient subsequently became pregnant during her third menstrual cycle and the current progress of her pregnancy is favorable.
Full text 1,209 characters · extracted from oa-doi-fallback · click to expand
[Case Report] Pregnancy After Hysteroscopic Metroplasty Under Laparoscopy in a Woman with Complete Septate Uterus: A Case Report 2015 Volume 37 Issue 1 Pages 17-22 Details Abstract A 31-year-old nulligravid woman with a 3 year history of infertility visited our hospital. After consultation and a transvaginal ultrasound and MR imaging, her uterine anomaly was identified as complete septate uterus: class V (a) by the American Fertility Society (AFS). She had a doubled uterine cervix and a vaginal septum. Hysteroscopic metroplasty was performed with the aid of a laparoscopy. Both tubal patencies were confirmed with indigocarmine in a laparoscopic image. Laparoscopic electronic cautery was also done on the left ovarian endometrioma (stage 1 endometriosis; the revised American Society for Reproductive Medicine (rASRM) classification 4 point minimal). We distrained an intrauterine device in the uterine cavity and removed it after two cycles of menstruation. The patient subsequently became pregnant during her third menstrual cycle and the current progress of her pregnancy is favorable. © 2015 The University of Occupational and Environmental Health, Japan Favorites & Alerts Recently viewed articles

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Outcome instruments

rASRM

Condition tags

endometriosisendometriomainfertility

MeSH descriptors

Hysteroscopy Laparoscopy Urogenital Surgical Procedures Uterus Uterus Adult Electrocoagulation Endometriosis Endometriosis Female Humans Hysteroscopy Laparoscopy Ovarian Diseases Ovarian Diseases Pregnancy Treatment Outcome Urogenital Surgical Procedures Uterus Vagina

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (10)

Source provenance

europepmc
last seen: 2026-08-12T06:07:16.479679+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:17:58.238279+00:00
unpaywall
last seen: 2026-08-12T06:43:03.944938+00:00
License: CC0 · commercial use OK