Malformations of the uterus

Jarcho, Julius

doi:10.1016/0002-9610(46)90190-0

Cited by 109 publications

(16 citation statements)

References 36 publications

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“…Placenta percreta is a morbid condition that involves infiltration of choronic villi of the placenta past the myometrium of the uterus towards urogenital organs. The uterus lies posterior and superior to the bladder [5]. Thus, particular care must be taken to prevent bladder damage in case of hysterectomy.…”

Section: Resultsmentioning

confidence: 99%

“…The uterus is peritonealized by the broad ligament and is comprised of 3 parts: the fundus, the body and the cervix [5]. The uterine wall is composed of 3 layers: the endometrium, myometrium and serosa (perimetrium).…”

Section: Introductionmentioning

confidence: 99%

“…The endometrium has a functional layer and a basal layer. The functional layer consists of uterine arteries and veins that become basal straight arteries or spiral endometrial arteries [5]. High levels of estrogen and progesterone lead to development of more spiral arteries, causing the endometrium's functional layer to thicken.…”

Section: Introductionmentioning

confidence: 99%

“…The basal layer does not change with increases in hormone production. It is the deepest layer of the endometrium and contains tube-like uterine glands [5]. Damage to the basal layer may cause intrauterine scars referred to as Ashermans syndrome, which allows placental adhesions to occur [6].…”

Section: Introductionmentioning

confidence: 99%

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Urological Manifestations of Placenta Percreta

Ibrahim¹,

Liu²,

Dalpiaz³

et al. 2015

Current Urology

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Placenta percreta is a condition of pregnancy associated with abnormal decidua placenta. It is characterized by invasion of chorionic villi past the myometrium and serosa, towards urogenital organs. Complications include massive hemorrhage, bladder dysfunction, and severe infections during delivery. Reports suggest an increasing prevalence of this condition. From a urological perspective, this review suggests how early diagnostic modalities, effective treatment plans, and appropriate surgical methods may aid in decreasing the morbidity and mortality of placenta percreta. The importance of maintaining bladder integrity during hysterectomy is emphasized.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Urological Manifestations of Placenta Percreta

Ibrahim¹,

Liu²,

Dalpiaz³

et al. 2015

Current Urology

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“…Another possible explanation for this variation in reported incidences may be that many women with congenital uterine anomaly do not seek medical treatment, since most of them do not experience menstrual disorders after menarche. Conventionally, Jarcho's classification or a modified version is used to classify uterine cavity abnormalities [17]. However, the differentiation between the septate and the arcuate uterus is not clear in this classification or its modification [18].…”

Section: Congenital Uterine Anomaly and Rplmentioning

confidence: 99%

Effective Treatment for Recurrent Pregnancy Loss

Makino

2010

RIB

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Abstract:Understanding the etiology of recurrent pregnancy loss (RPL) has been increasing in importance in reproductive medicine, especially in societies with low birth rates. Since the cause of human miscarriage is often complicated and multifactorial, effective treatment for the successful maintenance of pregnancy requires the comprehensive clinical management of recurrent wastages. Immunology for the maintenance of pregnancy is a very attractive field; however, the role of immunology during human gestation cannot be confirmed in couples with a history of recurrent pregnancy loss unless other clinical causes of miscarriage are especially ruled out. Balanced chromosomal rearrangements have been found at an increased frequency in couples with recurrent pregnancy loss compared with the general population. The major anomalies are Robertosonian or reciprocal translocations, while most minor variants include pericentric inversion of chromosome 9. Both major and minor anomalies result in a spontaneous abortion rate of approximately 80-90%. Though the incidences of these chromosomal abnormalities vary in reported studies, a survey indicated an incidence of 9.8% (3.9% in male partners and 5.9% in female partners) among 1,639 couples with a history of recurrent pregnancy loss. Congenital uterine anomaly resulting in a suboptimal uterine environment may influence ovum implantation and early fetal development and may be a candidate in the etiology of reproductive wastage. A review on the relation between congenital uterine anomalies and the spontaneous abortion rate concluded that a precise diagnosis of uterine cavity deformity, especially arcuate uterus, is a key issue for determining the clinical prognosis during human gestation. After establishing diagnostic criteria for uterine cavity anomaly, 278 congenital uterine anomalies were detected in a series of 2,061 hysterosalpingographies (13.5%) performed in women with a history of recurrent pregnancy loss. Among these abnormalities, the incidences of spontaneous abortion were equally high among patients with arcuate uterus and those with partial septate uterus. A few studies on abortion mechanism in patients with congenital uterine anomalies have been reported. Histological findings using CD34-positive staining indicate the lack of a blood capillary system in both the uterine septum and the fundus muscle layer. The results of metroplastic surgery on congenital uterine anomaly are also controversial. Based on our fundamental findings of the maldistribution of uterine capillaries, we performed ideal metroplastic surgery in 173 women and significantly

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Morphology of a six-legged goat with duplication of the intestinal, lower urinary, and genital tracts

et al. 1997

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Background: An adult female goat with rare malformations, which consisted of duplication of the intestinal, lower urinary, and genital tracts as well a pair of parasitic appendages, is presented.Methods: A complete dissection was performed on a moribund female goat (Capra hircus).Results: The animal had a normal body with a parasitic attachment located within the pelvic region. This attachment was represented by an ovoid, trunk-like, adipose mass that lacked internal organs or vertebrae but that had two fairly well-developed limbs with the normal components of hind limbs. There was duplication involving the external and internal genitalia, the urethra, the urinary bladder, and portions of the small intestine as well as the large bowel, including the anal openings.Conclusions: An autosite with a duplication involving the hindgut and paramesonephric anlages was identified. These features were compatible with life in utero and postutero and emanated from incomplete twinning (heteropagus twins). A review of the literature also suggests that heteropagus twins are a very rare abnormality in both domestic animals and humans.

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Malformations of the uterus

Cited by 109 publications

References 36 publications

Urological Manifestations of Placenta Percreta

Urological Manifestations of Placenta Percreta

Effective Treatment for Recurrent Pregnancy Loss

Morphology of a six-legged goat with duplication of the intestinal, lower urinary, and genital tracts

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