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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...

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Autores principales: Benlghazi, Abdelhamid, Belouad, Moad, Messaoudi, Hamza, Benali, Saad, El Hassani, Moulay Mehdi, Kouach, Jaouad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
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.
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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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