VP05.23: The role of three‐dimensional ultrasound in complete uterine and vaginal septum: a good example of this valuable diagnostic tool

A 25-year-old patient with a history of endometriosis and a Caesearean section (pelvic presentation) was referred to consultation due to dysmenorrhea, dyschezia, dyspareunia and pelvic chronic pain (8 in 10). At physical examination, a 2/3 vaginal length septum was detected. The three-dimensional (3D) gynecological ultrasound described a bicorporeus uterine malformation with a complete septum with communication at the isthmic level. It was continuous with a cervical and vaginal complete septum. A rectovaginal endometriosis nodule with 1.2x1.6 centimetres at 8.5 centimetres from the anal merge was described in the 2D ultrasound. The magnetic resonance reported two distinct uterine cavities separated by a fibromuscular septum from the level of the uterine fundus to the cervix and also the communication between the two endometrial cavities of probable iatrogenic cause at the level of isthmus. Two vaginal cavities could also be seen, visibly separated by a longitudinal septum in all its extension. A nodule of 1.2x1.6 centimetres at the uterine torus contacting with the rectal anterior wall was compromising the posterior vaginal fornix. The patient will undergo hysteroscopic septotomy, followed by laparoscopic excision of the rectovaginal endometriotic lesion. 3D ultrasound is very useful when trying to identify and define the length of a uterine septum. Here we show another good example of how the 3D gynecological ultrasound performed as a valuable diagnostic tool in these circumstances, with similar results to the magnetic resonance. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.