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Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature

Received: 17 March 2014     Accepted: 10 May 2014     Published: 10 June 2014
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Abstract

Frequency of uterine malformations having an impact on reproduction is difficult to assess. Their detection requires specific exams (hysterosalpingography, hysteroscopy, laparoscopy). Spontaneous fertility can be altered depending on the type of uterine anomaly. All these anomalies can affect the evolution of the pregnancy: early fetal loss and late fetal loss, ectopic pregnancy, premature delivry, premature birth,vascular pathologies in pregnancy and fetal growth restriction. Ovarian function is not changed. Bicornuate uterus is the most common uterine malformations representing about half of the anomalies of the uterus. Surgery, including endoscopic allows precise diagnosis, assessment of prognosis and treatment improving the chances of conception and evolution of pregnancies. The occurrence of such a pregnancy is a dangerous situation that can lead to maternal death, but early diagnosis and good following can carry pregnancies to term. Ultrasound screening should allowed the identification of such cases in order to take preventive measures. We report a case of a bicornualunicervical uterus in a pregnancy at 38 weeks of gestation diagnosed during ultrasound first trimester of pregnancy.

Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 3)
DOI 10.11648/j.jgo.20140203.13
Page(s) 42-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Bicorrnuate Uterus, Uterine Malformation, Pregnancy

References
[1] Nahum GG. Uterine anomalies. How common are they, and what is their distribution among subtypes ? J Reprod Med 1998;43:877-87.
[2] Raga F, Bauset C, Remohi J, et al. Reproductive impact of congenital Mullerian anomalies. Hum Reprod 1997;12:2277-81.
[3] revue.medhyg.ch/article.php3?sid=33521 Rédigé par Odile Penet on Fév, 09 2010
[4] Poncelet C, Aissaoui F. Malformations utérines et reproduction. GynecolObstetFertil 2007;35:821-5.
[5] Troiano RN, McCarthy SM. Mullerian duct anomalies : Imaging and clinical issues. Radiology 2004;233:19-34.
[6] The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. FertilSteril 1988; 49:944-55.
[7] Deutch TD, Abuhamad AZ. The role of 3-dimensional ultrasonography and magnetic resonance imaging in the diagnosis of mullerian duct anomalies : A review of the literature. J Ultrasound Med 2008;27: 413-23.
[8] Strassmann EO. Plastic unification of double uterus ; A study of 123 collected and five personal cases. Am J ObstetGynecol 1952;64:25-37.
[9] Woelfer B, Salim R, Banerjee S, et al. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. ObstetGynecol 2001;98:1099-103.
[10] Heinonen PK. Complete septate uterus with longitudinal vaginal septum. FertilSteril 2006;85:700-5.
[11] Lourdel E, Cabry-Goubet R, Merviel P, et al. Utérus cloisonné : place de l’hystéroplastiehystéroscopique. GynecolObstetFertil 2007;35:811-8.
[12] Canis M, Wattiez A, Pouly JL, et al. Laparoscopic management of unicornuate uterus with rudimentary horn and unilateral extensive endometriosis : Case report. Hum Reprod 1990;5:819-20.
[13] Airoldi J, Berghella V, Sehdev H, Ludmir J. Transvaginal ultrasonography of the cervix to predict preterm birth in women with uterine anomalies. ObstetGynecol 2005;106:553-6.
[14] Acien P. Reproductive performance of women with uterine malformations. Hum Reprod 1993;8:122-6.
[15] Golan A, Langer R, Neuman M, et al. Obstetric outcome in women with congenital uterine malformations. J Reprod Med 1992;37:233-6.
[16] Golan A, Langer R, Wexler S, et al. Cervical cerclage- its role in the pregnant anomalous uterus. Int J Fertil 1990;35:164-70.
[17] Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. FertilSteril. 2009;91(5):1886–94. [PubMed]
Cite This Article
  • APA Style

    S. Mezane, M. Achenani, Y. Benabdejalil, M. Ziyadi, R. Hafidi, et al. (2014). Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature. Journal of Gynecology and Obstetrics, 2(3), 42-45. https://doi.org/10.11648/j.jgo.20140203.13

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    ACS Style

    S. Mezane; M. Achenani; Y. Benabdejalil; M. Ziyadi; R. Hafidi, et al. Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature. J. Gynecol. Obstet. 2014, 2(3), 42-45. doi: 10.11648/j.jgo.20140203.13

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    AMA Style

    S. Mezane, M. Achenani, Y. Benabdejalil, M. Ziyadi, R. Hafidi, et al. Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature. J Gynecol Obstet. 2014;2(3):42-45. doi: 10.11648/j.jgo.20140203.13

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  • @article{10.11648/j.jgo.20140203.13,
      author = {S. Mezane and M. Achenani and Y. Benabdejalil and M. Ziyadi and R. Hafidi and I. Hakimi and A. Babahabib and M. Hassani and J. Kaouach and D. Moussaoui and M. Dehayni},
      title = {Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {3},
      pages = {42-45},
      doi = {10.11648/j.jgo.20140203.13},
      url = {https://doi.org/10.11648/j.jgo.20140203.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20140203.13},
      abstract = {Frequency of uterine malformations having an impact on reproduction is difficult to assess. Their detection requires specific exams (hysterosalpingography, hysteroscopy, laparoscopy). Spontaneous fertility can be altered depending on the type of uterine anomaly. All these anomalies can affect the evolution of the pregnancy: early fetal loss and late fetal loss, ectopic pregnancy, premature delivry, premature birth,vascular pathologies in pregnancy and fetal growth restriction. Ovarian function is not changed. Bicornuate uterus is the most common uterine malformations representing about half of the anomalies of the uterus. Surgery, including endoscopic allows precise diagnosis, assessment of prognosis and treatment improving the chances of conception and evolution of pregnancies. The occurrence of such a pregnancy is a dangerous situation that can lead to maternal death, but early diagnosis and good following can carry pregnancies to term. Ultrasound screening should allowed the identification of such cases in order to take preventive measures. We report a case of a bicornualunicervical uterus in a pregnancy at 38 weeks of gestation diagnosed during ultrasound first trimester of pregnancy.},
     year = {2014}
    }
    

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    T1  - Bicornuate Uterus and Pregnancy a Propos One Case and Review of the Litterature
    AU  - S. Mezane
    AU  - M. Achenani
    AU  - Y. Benabdejalil
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    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    AB  - Frequency of uterine malformations having an impact on reproduction is difficult to assess. Their detection requires specific exams (hysterosalpingography, hysteroscopy, laparoscopy). Spontaneous fertility can be altered depending on the type of uterine anomaly. All these anomalies can affect the evolution of the pregnancy: early fetal loss and late fetal loss, ectopic pregnancy, premature delivry, premature birth,vascular pathologies in pregnancy and fetal growth restriction. Ovarian function is not changed. Bicornuate uterus is the most common uterine malformations representing about half of the anomalies of the uterus. Surgery, including endoscopic allows precise diagnosis, assessment of prognosis and treatment improving the chances of conception and evolution of pregnancies. The occurrence of such a pregnancy is a dangerous situation that can lead to maternal death, but early diagnosis and good following can carry pregnancies to term. Ultrasound screening should allowed the identification of such cases in order to take preventive measures. We report a case of a bicornualunicervical uterus in a pregnancy at 38 weeks of gestation diagnosed during ultrasound first trimester of pregnancy.
    VL  - 2
    IS  - 3
    ER  - 

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Author Information
  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

  • Department of Gynecology-Obstetric, Military Hospital Mohammed V, Rabat, Morocco

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