Diagnosis and Management of Congenital Uterine Anomalies in Pregnancy

Vaz, Sharon; Dotters‐Katz, Sarah K.; Kuller, Jeffrey A.

doi:10.1097/ogx.0000000000000408

Cited by 18 publications

(16 citation statements)

References 44 publications

(60 reference statements)

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“…MRI has been reported to have a high accuracy rate in diagnosing unicornuate uterus. 6 Unicornuate uterus can be found incidentally during gynecologic examination or because of abdominal pain as seen in our case.…”

Section: Discussionmentioning

confidence: 49%

“…One possible cause of abdominal pain in this patient is uterine distention due to blood accumu- lation in the noncommunicating cavity of the rudimentary horn (hematometra). 1,6 Excision of the uterine horn without a functioning endometrium attached to the unicornuate uterus merely to enhance obstetric outcomes is not warranted. When there is no functioning endometrium, no intervention is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 This malformation is associated with the presence of a rudimentary horn in 74-90% of cases. 1,6 Approximately, 25% of these horns are characterized by the presence of a cavity with functional endometrium, which does not communicate with the main cavity of the contralateral unicornuate uterus. 6 We presented a case of unicornuate uterus with rudimentary cavity and non communicating horn.…”

Section: Introductionmentioning

confidence: 99%

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Hysterectomy to the Unicornuate Uterus Suffering of Hematometra

Pramayadi

Nurliana

Fani

2017

Indones J Obstet Gynecol

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Objective: Unicornuate uterus with rudimentary cavity is anextremely rare Mullerian duct anomaly. It is frequently misdiagnosedor under treated, since women who suffer from thiscondition tend to be asymptomatic. We aimed to report thisinteresting case and review the available background literature.Methods: Case report.Case: A thirty two-year-old nulligravid woman was presentedwith severe abdominal pain. Laparoscopic surgery demonstratedunicornuate uterus with arudimentary cavity and hematometra.Partial hysterectomy was conducted to the right rudimentaryuterus.Conclusion: Thorough diagnosis is essential to prevent thecomplications of unicornuate uterus. Unicornuate uterus withrudimentary cavity is associated with increased rate of pregnancycomplications such as preterm labor and fetal malpresentation.Pregnancy can also occurred on the rudimentary cavity and leadsto recurrent pregnancy loss. Laparoscopy is essential for confirmatorydiagnosis. Surgical intervention should be considered asthe first line therapy to avoid associated morbidity.[Indones J Obstet Gynecol 2017; 5-4: 246-249]Keywords: hematometra, hysterectomy, unicornuate uterus

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hysterectomy to the Unicornuate Uterus Suffering of Hematometra

Pramayadi

Nurliana

Fani

2017

Indones J Obstet Gynecol

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“…Both ACOG and the Royal College of Obstetricians and Gynaecologists recommend that, in general, women presenting with a singleton breech fetus at term should be offered ECV27–30 but are unclear whether women with PD abnormalities should be excluded 28 29. Lack of consensus regarding the optimal mode of delivery for breech presentation at term in women with PD abnormalities is attributed to a dearth of relevant data31 stemming from the fact that women with PD abnormalities are often excluded from studies assessing safety and efficacy of ECV 32. At the time ECV was attempted on our patient, presence of PD abnormalities was further complicated by a history of one previous caesarean section.…”

Section: Discussionmentioning

confidence: 99%

Vaginal birth after two previous caesarean deliveries in a patient with uterus didelphys and an interuterine septal defect

Ng’ang’a¹,

Ratzersdorfer

Abdelhak

2017

BMJ Case Reports

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Uterus didelphys is a congenital abnormality characterised by double uteri, double cervices and a double or single vagina that affects 0.3% to 11% of the general female population. A 23-year-old woman, gravida 3 para 3003, with uterus didelphys, acquired an iatrogenic interuterine septal defect during an otherwise routine primary caesarean delivery for fetal malpresentation. The defect was repaired but noted to have dehisced during her second pregnancy. A repeat caesarean section was performed due to fetal malpresentation after an unsuccessful external cephalic version. The dehisced defect was left unrepaired. During her third pregnancy, the placenta implanted in the right uterus, but the fetus migrated to the left uterus at approximately 28 weeks gestation. The umbilical cord traversed the interuterine septal defect. With the fetus in the vertex presentation at term gestation, the patient underwent a vaginal birth after two previous caesarean deliveries without any major perinatal complications.

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“…Заболеваемость УК у мальчиков, по разным данным, составляет от 1:5000 до 1:8000 случаев [1]. Диагностика основывается на сборе анамнеза, жалоб, объективном осмотре, выполнении ультразвукового исследования, уретроцистографии, урофлоуметрии и уретроцистоскопии [2][3][4][5]. В большинстве случаев диагноз удается установить на первом году жизни ребенка [6].…”

Section: Introductionunclassified

Double Urethral Valve: a Clinical Case

Vorobev

Белобородов

Попов

2019

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Urethral valves (UVs) are congenital malformations of the urethra, leading to infravesical obstruction. The most common UV is the posterior urethral valve (PUV). The anterior urethral valve (AUV) is a somewhat rarer, but still well-known congenital anomaly. UVs can provoke significant obstruction of the proximal urinary system, which can later lead to disability of children and more frequent deaths.Materials and methods. The article presents a clinical example of a 32-year-old man with a congenital double urethral valve occuring in the anterior and posterior urethra, which led to the development of chronic urinary retention, urinary tract infection and chronic renal failure. The patient underwent a successful urethroplasty operation to remove the valve mechanism.Results. Six months following surgery, the patient noted the complete disappearance of symptoms, with renal function having returned to normal. No signs of recurrence of the disease or the formation of stricture of the urethra were detected by to the survey.Conclusion. A congenital variant of the double UV is an unusual extremely rare cause of infravesical obstruction. Early diagnosis and treatment of this anomaly is very important for preventing further irreversible damage to the urinary system. The presented clinical observation demonstrates the need to organise and conduct periodic preventive examinations of children of different age groups.

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Diagnosis and Management of Congenital Uterine Anomalies in Pregnancy

Cited by 18 publications

References 44 publications

Hysterectomy to the Unicornuate Uterus Suffering of Hematometra

Hysterectomy to the Unicornuate Uterus Suffering of Hematometra

Vaginal birth after two previous caesarean deliveries in a patient with uterus didelphys and an interuterine septal defect

Double Urethral Valve: a Clinical Case

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