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Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review
INTRODUCTION AND IMPORTANCE: Malformations of the uterus are generally rare and are due to defective fusion of Mullerian duct. These include the unicorn uterus, with or without a rudimentary horn. Pregnancy in a unicornuate uterus is a rare event and carries with it maternal-fetal risks. CASE PRESEN...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470303/ https://www.ncbi.nlm.nih.gov/pubmed/37611398 http://dx.doi.org/10.1016/j.ijscr.2023.108689 |
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author | Benlghazi, Abdelhamid Belouad, Moad Messaoudi, Hamza Benali, Saad El Hassani, Moulay Mehdi Kouach, Jaouad |
author_facet | Benlghazi, Abdelhamid Belouad, Moad Messaoudi, Hamza Benali, Saad El Hassani, Moulay Mehdi Kouach, Jaouad |
author_sort | Benlghazi, Abdelhamid |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Malformations of the uterus are generally rare and are due to defective fusion of Mullerian duct. These include the unicorn uterus, with or without a rudimentary horn. Pregnancy in a unicornuate uterus is a rare event and carries with it maternal-fetal risks. CASE PRESENTATION: In this report, we present an exceptional case of a pregnancy reaching full term in a unicornuate uterus without an accessory horn, which was serendipitously discovered during an emergency cesarean section. Intraoperatively, the uterus exhibited a distinct cylindrical shape with a flattened left wall, with the absence of both the left fallopian tube and left ovary. No additional abnormalities within the abdominopelvic cavity were noted. Notably, the postoperative recovery was uneventful for both the mother and newborn, without any notable complications. CLINICAL DISCUSSION: The presence of a unicornuate uterus is associated with adverse obstetric outcomes, including recurrent miscarriage, premature delivery, fetal malposition, intrauterine growth retardation, and uterine rupture. In addition, around 40 % of women with this malformation may experience infertility. Although the efficacy of preconception or early interventions, such as rudimentary uterine horn resection and prophylactic cervical cerclage has not been fully established in improving obstetric outcomes, their usefulness is suggested by current medical practice. CONCLUSION: Women with a unicornuate uterus are known to be at increased risk of obstetrical complications, such as spontaneous abortion, premature delivery, post-partum hemorrhage, abnormal fetal presentation and cesarean delivery. It is important to consider women with this anomaly as being at high obstetrical risk. |
format | Online Article Text |
id | pubmed-10470303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104703032023-09-01 Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review Benlghazi, Abdelhamid Belouad, Moad Messaoudi, Hamza Benali, Saad El Hassani, Moulay Mehdi Kouach, Jaouad Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Malformations of the uterus are generally rare and are due to defective fusion of Mullerian duct. These include the unicorn uterus, with or without a rudimentary horn. Pregnancy in a unicornuate uterus is a rare event and carries with it maternal-fetal risks. CASE PRESENTATION: In this report, we present an exceptional case of a pregnancy reaching full term in a unicornuate uterus without an accessory horn, which was serendipitously discovered during an emergency cesarean section. Intraoperatively, the uterus exhibited a distinct cylindrical shape with a flattened left wall, with the absence of both the left fallopian tube and left ovary. No additional abnormalities within the abdominopelvic cavity were noted. Notably, the postoperative recovery was uneventful for both the mother and newborn, without any notable complications. CLINICAL DISCUSSION: The presence of a unicornuate uterus is associated with adverse obstetric outcomes, including recurrent miscarriage, premature delivery, fetal malposition, intrauterine growth retardation, and uterine rupture. In addition, around 40 % of women with this malformation may experience infertility. Although the efficacy of preconception or early interventions, such as rudimentary uterine horn resection and prophylactic cervical cerclage has not been fully established in improving obstetric outcomes, their usefulness is suggested by current medical practice. CONCLUSION: Women with a unicornuate uterus are known to be at increased risk of obstetrical complications, such as spontaneous abortion, premature delivery, post-partum hemorrhage, abnormal fetal presentation and cesarean delivery. It is important to consider women with this anomaly as being at high obstetrical risk. Elsevier 2023-08-19 /pmc/articles/PMC10470303/ /pubmed/37611398 http://dx.doi.org/10.1016/j.ijscr.2023.108689 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Benlghazi, Abdelhamid Belouad, Moad Messaoudi, Hamza Benali, Saad El Hassani, Moulay Mehdi Kouach, Jaouad Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review |
title | Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review |
title_full | Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review |
title_fullStr | Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review |
title_full_unstemmed | Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review |
title_short | Spontaneous successful term delivery in a unicornuate uterus: A case report and literature review |
title_sort | spontaneous successful term delivery in a unicornuate uterus: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470303/ https://www.ncbi.nlm.nih.gov/pubmed/37611398 http://dx.doi.org/10.1016/j.ijscr.2023.108689 |
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