RESUMO
OBJECTIVE: To report a case of a previously unknown anomaly of the uterus in a patient suffering from primary infertility. DESIGN: Case report. SETTING: University Medical Center. PATIENT(S): A woman with a tricavitated uterus. INTERVENTION(S): During laparotomy both spherical structures and tubes were removed. MAIN OUTCOME MEASURE(S): Hysterosalpingography showed nonpatent tubes and dilatation in the proximal part of the tubes. By ultrasound, two spherical-shaped structures were found with a density resembling the density of myometrium and an inner lining similar to the endometrium. RESULT(S): Pathologic examination revealed that both spherical structures consisted of uterine muscle on the outside and functional endometrium on the inside. After two IVF cycles the patient became pregnant and delivered a healthy baby boy by cesarean section. CONCLUSION(S): The pathogenesis of this tricavitated anomaly of the uterus is discussed, but cannot be clearly explained, according to the classification for uterine malformations by the American Fertility Society.
