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Bicornuate Uterus

Uterus Arcuatus


Presentation

  • Uterine torsion is a rare obstetric complication with a non-specific presentation.[ncbi.nlm.nih.gov]
  • Ruptured uterus presenting in first trimester of pregnancy is extremely uncommon and should raise the suspicion of uterine malformations.[ncbi.nlm.nih.gov]
  • We present an unusual complication of abortion in a patient with a bicornuate uterus. We present a case of failed medical and surgical abortion in a woman with a bicornuate uterus.[ncbi.nlm.nih.gov]
  • We present a case of vaginal ectopic ureter with ipsilateral partial duplication of the upper ureter (Y-type ureter), ipsilateral hypoplastic pelvic kidney and bicornuate uterus in a 20-year-old woman who presented with mild urinary incontinence since[ncbi.nlm.nih.gov]
  • A 39-year-old woman presented for evaluation of a tender nodule on the umbilicus that had been present for 6 months. She stated that it had slowly been increasing in size and would occasionally open up and crust over with dried blood.[ncbi.nlm.nih.gov]
Abdominal Mass
  • Bimanual pelvic examination showed the cervix to be continuous with the abdominal mass. Her hemogram, blood sugar levels, renal and liver function tests were normal.[jpgo.org]
Papule
  • Physical examination revealed a 4-mm firm, tender, brown papule in the umbilicus (Figure 1).[ncbi.nlm.nih.gov]
Adnexal Mass
  • Transvaginal color Doppler sonography of adnexal masses: differences in blood flow impedance in benign and malignant lesions. Am J Roentgenol 1993;160:1225-1228. ‎ Seite 12 - Goldstein SR, Nachtigall M, Snyder JR, Nachtigall L.[books.google.de]
  • Masses Characterization of Benign Ovarian Lesions 197 CT and MRI in Ovarian Carcinoma ROSEMARIE FORSTNER 233 Häufige Begriffe und Wortgruppen Über den Autor (2007) B.[books.google.de]

Workup

  • Further workup revealed a previously undiagnosed bicornuate uterus. She underwent hysteroscopy, dilation and curettage, and LNG-IUD placement in each uterine horn. Postoperative follow-up confirmed retention and proper placement of both IUDs.[ncbi.nlm.nih.gov]

Treatment

  • Laparoscopic-assisted transvaginal metroplasty is a logical and useful minimally invasive alternative to laparotomy for the treatment of symptomatic bicornuate uterus and has potential utility for the treatment of complicated septate uterus and the correction[ncbi.nlm.nih.gov]
  • Selective uterine artery embolization offers an effective modality of treatment.[ncbi.nlm.nih.gov]
  • Routine cervical cerclage and Strassman metroplasty have been advocated as treatment for this anomaly. We report a case of successful pregnancy in one of the horns of a bicornuate uterus managed in our unit.[ncbi.nlm.nih.gov]
  • Split embryo transfer into each uterine cavity of an uncorrected bicornuate uterus is a feasible treatment option in selected patients, provided that the couple is counseled about the risks involved.[ncbi.nlm.nih.gov]
  • A primigravida aged 20 years was referred to Vydehi Institute of Medical Sciences with diagnosis of 30 weeks of period of gestation with eclampsia and failure to respond to induction with misoprostol and she was on Pritchard regimen for the treatment[ncbi.nlm.nih.gov]

Prognosis

  • […] mother and the fetus.Pregnancies in a bicornuate uterus are usually high-risk and require extra monitoring because of association with poor reproductiveoutcomes.When a mullerian anomaly is identified, the woman should be counselled about reproductive prognosis[ecommons.aku.edu]
  • Treatment and prognosis Surgical intervention is usually not indicated in absence of reproductive difficulties.[radiopaedia.org]
  • Prognosis With sufficient capacity of the uterine cavity, pregnancy goes without complications. In severe cases, there is a high risk of miscarriage or premature birth .[motherhow.com]
  • What is the Prognosis? A woman with bicornuate uterus who becomes pregnant can go on with the pregnancy without complications if the uterine cavity is strong. If it is weak, then worst thing could happen such as premature birth or miscarriage.[ihealthblogger.com]
  • Patients have excellent prognosis and low risk of recurrence. Deformation: Pterigium include limb deformities, shortening, rings, compression, absent patella, dislocated radial head and the grooves.[medicaldb.blogspot.com]

Etiology

  • Control model of the acquired development of adenomyosis serves to prove pregnancy-related etiology in a bicornuate uterus involving unilateral cornual adenomyosis.[journals.lww.com]
  • Risk of recurrence depends on the etiology and progression. Derived extrinsic contractures are associated with abnormal limb position, large ears, skin and lack of excessive or normal flexion.[medicaldb.blogspot.com]
  • Babill Stray-Pedersen and Sverre Stray-Pedersen, Etiologic factors and subsequent reproductive performance in 195 couples with a prior history of habitual abortion, American Journal of Obstetrics and Gynecology, 148, 2, (140), (1984). Betty J.[doi.org]

Epidemiology

  • Further, to our knowledge, no epidemiologic studies estimating the risk for congenital defects and analyzing the type of anomalies observed in infants born to mothers with bicornuate uterus have been reported. Methods.[pediatrics.aappublications.org]
  • However, these reports were based on clinical observations and not on epidemiologic studies.[doi.org]
  • Frequency of denial of pregnancy: Results and epidemiological significance of a 1 year prospective study in Berlin. Acta Obstet. Gyn. Scan., 81: 1021-1027. PubMed Zinaman, M.J., E.D. Clegg, C.C. Brown, J. O'Connor and S.G. Selevan, 1996.[scialert.net]
  • Contrary to high-income countries where epidemiological studies have been carried out on these anomalies [ 1 ], the relative rarity of BU in sub-Saharan Africa (SSA) is due to a low index of clinical suspicion; under-reporting and inaccessibility to highly[bmcwomenshealth.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology A bicornuate uterus develops during embryogenesis. The condition is caused by specific changes in the process of the upper part of the Müllerian ducts fusion.[ic.steadyhealth.com]

Prevention

  • Barbieri adds that a cerclage is not typically done as a preventative measure in the first pregnancy.[momtastic.com]
  • It is suggested that failure of left lateral tilt to prevent the syndrome was associated with anatomical displacement of the uterus to the right. The importance of trying right lateral tilt, if response to left tilt is poor, is noted.[ncbi.nlm.nih.gov]
  • […] toxicology conference in MENA region March 21, 2018 News Emory University School of Medicine seniors participate in Match Day 2018 March 16, 2018 News Emory Genetics Metabolic Nutrition Program launches new website for Medical Nutrition Therapy for Prevention[emoryhealthcare.org]
  • Should you become pregnant, the doctor will encourage you to deliver your baby via caesarean section to prevent further complication during delivery.[ihealthblogger.com]

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