Presentation
Uterine torsion is a rare obstetric complication with a non-specific presentation. [ncbi.nlm.nih.gov]
Gastrointestinal
- Abdominal Cramps
On the second postpartum day, the patient experienced abdominal cramping, vaginal bleeding, and an eight percent drop in her haematocrit. She was taken to the operating room for a planned exploratory laparotomy and hysterectomy. [oapublishinglondon.com]
Musculoskeletal
- Osteoporosis
[…] outpatient… Methyldopa Patient is determined to have primary a… Osteoporosis list the muscles of the false pelvis The psoas major and iliacus muscles cre… The true pelvis contains 3 groups of mu… The pelvic sidewall contained in the tr… psoas major & [quizlet.com]
Skin
- Hirsutism
[…] disorders, cushging's, adrenal insuff hyperandrogenism due to deranged steroid synthesis by theca cells, inc LH leading to anovulation what is the clinical manifestation of PCOS enlarged bilateral cystic ovaries, amenorrhea, infertility, obesity, and hirsutism [quizlet.com]
Urogenital
- Vaginal Bleeding
A 32-year-old nulligravid woman with a history of breast cancer on tamoxifen presented with new-onset vaginal bleeding. Further workup revealed a previously undiagnosed bicornuate uterus. [ncbi.nlm.nih.gov]
The patient was stable with no active vaginal bleeding and desired future fertility. Therefore, the decision was made to leave the placenta in situ and follow with expectant management. [oapublishinglondon.com]
On the other hand, some women with a bicornuate uterus report the following symptoms: irregular vaginal bleeding repeated miscarriages painful periods abdominal discomfort pain during intercourse If you have a bicornuate uterus, you’ve had it your whole [healthline.com]
This was the first episode of vaginal bleeding. The patient received no antenatal care and had no obstetric ultrasound in this pregnancy. [ssajm.org]
In our data, we observed that mothers with a bicornuate uterus had vaginal bleeding significantly more frequent than mothers with a normal uterus (54.1% vs 14.1%). [doi.org]
- Dysmenorrhea
A 41-year-old married gravida 1, para 1, first became aware that she had a double uterus 14 years earlier at her first prenatal examination when the gestation was identified in the left uterine cavity because of intractable dysmenorrhea. [ncbi.nlm.nih.gov]
The bicornuate uterus is characterized by dysmenorrhea, abnormal uterine bleeding, violation of pregnancy or infertility. Ultrasound, hysteroscopy, laparoscopy are used to diagnose. [motherhow.com]
80%) HP:0012532 8 abnormality of the uterine cervix 59 32 hallmark (90%) Very frequent (99-80%) HP:0012888 9 dyspareunia 59 32 hallmark (90%) Very frequent (99-80%) HP:0030016 10 hydrocolpos 59 32 hallmark (90%) Very frequent (99-80%) HP:0030711 11 dysmenorrhea [malacards.org]
- Amenorrhea
This patient's uterine malformation was detected for the first time when she experienced abdominal pain at 6 weeks of amenorrhea. Transabdominal and transvaginal sonographic examinations were performed. [ncbi.nlm.nih.gov]
On ultrasonography a single live baby was seen in the right horn of the uterus with parameters corresponding to the period of amenorrhea. Placenta was fundal and there was no retroplacental clot. [scialert.net]
Presentation A 28 year old woman with 3 months of amenorrhea presented for routine antenatal ultrasound. The following observations were made on transabdominal ultrasound. [sonoworld.com]
Maternal prenatal labs Prenatal fetal testing Diagnosis for PCOS 4 things you look for on non-stress tes… +CBC first visit... 24-28 wks, 1 hr glucose test (if positive do… 2/3... 1. oligo/amenorrhea... 2. hyperandrogenism... 3. ultrasound 1. [quizlet.com]
- Dyspareunia
0003762 6 partial vaginal septum 59 32 hallmark (90%) Very frequent (99-80%) HP:0008670 7 chronic pain 59 32 hallmark (90%) Very frequent (99-80%) HP:0012532 8 abnormality of the uterine cervix 59 32 hallmark (90%) Very frequent (99-80%) HP:0012888 9 dyspareunia [malacards.org]
Dyspareunia has been reported, and is due to narrowness of the canal. Sterility may result from the dys- pareunia, or from intercourse taking place in that one of the two canals which has no cervix in it (Fig. 131). [ebooksread.com]
She became sexually active at age 14 years but did not give a history of dyspareunia, postcoital bleeding or any sexually transmitted infections. Her past medical/surgical history was not significant. [caribbean.scielo.org]
- Primary Amenorrhea
Infantile uterus • 17ys female with primary amenorrhea Prof Soha Talaat 29. Uterus Position Mid line anteverted structure Prof Soha Talaat 30. Positions of the uterus Prof Soha Talaat 31. Prof Soha Talaat 32. Retroverted uterus Prof Soha Talaat 33. [slideshare.net]
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]
A high index of suspicion is necessary to diagnose these disorders and an adequate workup is essential. This report will present a case of uterus bicornis bicollis, unilateral imperforate vagina and ipsilateral renal agenesis. [caribbean.scielo.org]
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]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]
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]
[…] and most common tumor with orderly row of cells, often multiple and bilateral tumor is fleshy, cellular, with a lymphocytic infiltrate, good prognosis tumor is ductal with caseous necrosis Dermal lymphatic invasion by breast carcinoma, peu d orange Why [quizlet.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]
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
However, these reports were based on clinical observations and not on epidemiologic studies. [doi.org]
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]
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]
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]