SECTION 1 – QUIZ
A 25-year-old woman, nulligravida, with no relevant medical or surgical history, chronic medication, gynecologic symptoms, or history of infertility, underwent controlled ovarian stimulation for voluntary oocyte donation. Nine days after ovarian stimulation with 225 IU of follicle-stimulating hormone daily and 36 h after ovulation trigger with 0.2 mg of triptorelin, she was submitted to ultrasound (US)-guided vaginal ovarian puncture under sedation.
Before beginning the procedure, a longitudinal vaginal septum reaching the introitus was noticed, separating the vagina in 2 parts. Furthermore, there were 2 symmetrical uterine cervixes, both of slightly reduced size [Figure 1].
On vaginal US, in addition to hyperstimulated ovaries, there were 2 uterine cavities. By performing an axial scan of the uterus toward the fundus, 2 cervical canals were noticed [Figure 2], each one giving access to an independent hemicavity, respectively [Figure 3]. Progressing toward the uterine horns, these cavities were progressively further away from each other [Figure 4].
Approximately at the level of the mid uterus, there was a median discontinuation of the uterine wall, separating the uterine body in 2 [Figure 5]. The presence of free fluid interposed between them, as a consequence of the ovarian puncture, provided a better visualization [Figures 6 and 7].
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The authors certify that they have obtained all appropriate patient consent forms. In the form the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that her name and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed.
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