Utérus bicorne bicervical perméable: découverte fortuite lors d’une césarienne d’urgence chez une multipare lushoise

Isango, Yves Idi; Mukuku, Olivier; Ilunga, Paul Makinko; Kakisingi, Christian; Nsambi, Joseph B.; Kabamba, Christian; Mutangala, Guy; Mubinda, Patrick Kiopine; Kimbala, Julien

doi:10.11604/pamj.2013.15.75.2745

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…With the AFS classification, 101 cases of genital malformation were described (see Table 1). Among them, only 20 cases matched the embryological-clinical classification, eight did not match each other; in 73 cases [17,19,21,24,29,36,42,44,45,50,58,61,62,68,, the classification of the malformation using this system was incomplete because although the type of uterine anomaly of the AFS classification matched that of the embryological-clinical classification, characteristics of the urinary system or the vagina were overlooked when using the AFS system. Thus, the embryological-clinical classification was more complete.…”

Section: Suitabilitymentioning

confidence: 99%

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Navarro,

Acién,

Acién

2024

JCM

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Complex urogenital malformations are clinically highly relevant; thus, they must be appropriately diagnosed and classified before initiating treatment. Background/Objectives: This study aimed to evaluate the applicability and suitability of the embryological–clinical classification of female genital malformations. Methods: A systematic review of cases of genital malformations reported in the literature from 2000 to 2020 was conducted. Case reports and series with the following combinations: “female genital tract” AND (malformation OR anomaly OR müllerian anomaly OR uterine anomaly OR cervical anomaly OR vaginal anomaly OR cloacal anomaly OR urogenital sinus); and “female genital tract” AND (renal agenesis OR ectopic ureter) were searched. A total of 3124 articles were identified, of which 824 cases of genital malformation were extracted. The characteristics of each malformation were included in a database for further analyses. Results: Using the embryological–clinical classification, 89.9% of the published cases and 86.5% of the 52 cases defined as unclassifiable by their authors have been classified in this review. In 73 cases (72.2%), the classification of the malformation using the AFS system was incomplete because although the type of uterine anomaly of the AFS classification matched that of the embryological–clinical classification, characteristics of the urinary system or the vagina were overlooked when using the AFS system. Following a dispersion matrix, we have been able to show that the embryological–clinical classification system is able to classify and subclassify the genitourinary malformations more accurately. Conclusions: The applicability of the embryological–clinical classification has been confirmed after classifying most of the cases of genital malformation previously published. This system also provides a more complete and accurate classification than other classifying systems exclusively based on Müllerian duct development or uterovaginal parameters, demonstrating its suitability.

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Section: Suitabilitymentioning

confidence: 99%

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Navarro,

Acién,

Acién

2024

JCM

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“…Les malformations utérines font partie de celles pouvant être asymptomatiques, et donc passer totalement inaperçues jusqu'à une découverte fortuite lors d'un examen gynécologique de routine, d'un suivi pour infertilité ou encore pendant la grossesse ou à leur décours alors que La plupart des malformations congénitales sont décelables à la naissance, d'autres diagnostiquées en période anténatale et d'autres encore à la puberté [1]. Les anomalies utérines congénitales résultent de la formation anormale, de la fusion ou de la résorption des canaux de Müller au cours de la vie foetale.…”

Section: Introductionunclassified

Utérus bicorne unicervical perméable à découverte fortuite chez une patiente paucipare avec antécédent de césarienne. (Hôpital Général de Référence DACO /Likasi/RDC)

Mukadi

2023

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A uterus didelphys with a spontaneous labor at term of pregnancy: a rare case and a review of the literature

Algeri

Rota

Nicoli³

et al. 2018

Case Reports in Perinatal Medicine

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Uterus didelphys accounts for 13% of uterine anomalies and has been correlated with preterm delivery and fetal malpresentation at delivery. A 37-year-old pregnant woman reported a spontaneous pregnancy in the right horn of a uterus didelphys. The course of the pregnancy was complicated by gestational diabetes, but no miscarriage threat or preterm delivery threat was reported during this pregnancy. She arrived at our division, in labor, at 39.2 gestational weeks’. She delivered by cesarean section due to failure to progress at 5 cm. Her post-operative course was uneventful. Vaginal delivery could be a safe option and the induction of labor or the use of oxytocin could be helpful in such cases, but recommended doses and labor time should be evaluated, so cesarean section is to date the most frequent delivery route in uterus didelphys at term.

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Utérus bicorne bicervical perméable: découverte fortuite lors d’une césarienne d’urgence chez une multipare lushoise

Cited by 3 publications

References 4 publications

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Utérus bicorne unicervical perméable à découverte fortuite chez une patiente paucipare avec antécédent de césarienne. (Hôpital Général de Référence DACO /Likasi/RDC)

A uterus didelphys with a spontaneous labor at term of pregnancy: a rare case and a review of the literature

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