Uterus Bicornis

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Surabhi Tomar - One of the best experts on this subject based on the ideXlab platform.

  • Bicornuate Uterus: Infertility Treatment and Pregnancy Continuation without
    2016
    Co-Authors: Meenal Parmar, Surabhi Tomar
    Abstract:

    Introduction: Uterine malformation in general population is around 7 %- 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congeni-tal uterine malformations, such as Uterus didelphys, Uterus Bicornis bicollis, Uterus Bicornis uni-collis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10 % of the mullerian anomalies. Women with bicornuate Uterus have no extr

  • bicornuate Uterus infertility treatment and pregnancy continuation without cerclage an unusual case
    Open Journal of Obstetrics and Gynecology, 2014
    Co-Authors: Meenal Parmar, Surabhi Tomar
    Abstract:

    Introduction: Uterine malformation in general population is around 7% - 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congenital uterine malformations, such as Uterus didelphys, Uterus Bicornis bicollis, Uterus Bicornis unicollis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10% of the mullerian anomalies. Women with bicornuate Uterus have no extra uterine infertility issues. The uterine malformations are known to be associated with spontaneous miscarriages, intrauterine growth restriction, preterm deliveries, preterm prelabour rupture of membranes, breech presentation and increased rate of caesarean delivery. The rates of spontaneous abortion and premature delivery have been reported to reflect the degree of non fusion of the horns. The common complications and adverse reproductive outcomes associated with bicornuate Uterus are recurrent pregnancy loss (25%), preterm birth (15% - 25%) and cervical insufficiency (38%). We reported a case of bicornuate unicollis pregnancy which was infertility treated and carried till 38 weeks and had a good outcome. Case Report: A 32-year-old nullipara presented to Infertility OPD at NIMS Medical College and Hospital with the chief complaint of inability to conceive in spite of having regular sexual intercourse for 12 years without using any contraception. Patient was then investigated, bicornuate Uterus identified. Infertility treatment was done by Intrauterine Insemination (IUI). Patient conceived and pregnancy continued till term uneventfully. Discussion: The prevalence of uterine anomalies is 7% - 8%. And now because of better availability of diagnostic modalities, better detection of such anomalies is possible. Bicornuate Uterus is a congenital uterine anomaly that results from defective lateral fusion of the paramesonephric ducts at about the tenth week of intrauterine life around the fundus. A bicornuate Uterus consists of two symmetric cornua that are fused caudad, with communication of the endometrial cavities—most often at the level of the uterine isthmus. In a partial bicornuate unicollis Uterus the intervening cleft is of variable length. Bicornuate Uterus has been reported to have the highest prevalence of cervical incompetence among mullerian anomalies. Prophylactic placement of cervical cerclage in selected patients has been reported to increase fetal survival rates.

Meenal Parmar - One of the best experts on this subject based on the ideXlab platform.

  • Bicornuate Uterus: Infertility Treatment and Pregnancy Continuation without
    2016
    Co-Authors: Meenal Parmar, Surabhi Tomar
    Abstract:

    Introduction: Uterine malformation in general population is around 7 %- 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congeni-tal uterine malformations, such as Uterus didelphys, Uterus Bicornis bicollis, Uterus Bicornis uni-collis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10 % of the mullerian anomalies. Women with bicornuate Uterus have no extr

  • bicornuate Uterus infertility treatment and pregnancy continuation without cerclage an unusual case
    Open Journal of Obstetrics and Gynecology, 2014
    Co-Authors: Meenal Parmar, Surabhi Tomar
    Abstract:

    Introduction: Uterine malformation in general population is around 7% - 8%. Abnormal fusion of the para-mesonephric duct (mullerian duct) during embryonic life results in a variety of congenital uterine malformations, such as Uterus didelphys, Uterus Bicornis bicollis, Uterus Bicornis unicollis, Uterus subseptae, Uterus arcuatus, Uterus unicornis. The bicornuate Uterus accounts for approximately 10% of the mullerian anomalies. Women with bicornuate Uterus have no extra uterine infertility issues. The uterine malformations are known to be associated with spontaneous miscarriages, intrauterine growth restriction, preterm deliveries, preterm prelabour rupture of membranes, breech presentation and increased rate of caesarean delivery. The rates of spontaneous abortion and premature delivery have been reported to reflect the degree of non fusion of the horns. The common complications and adverse reproductive outcomes associated with bicornuate Uterus are recurrent pregnancy loss (25%), preterm birth (15% - 25%) and cervical insufficiency (38%). We reported a case of bicornuate unicollis pregnancy which was infertility treated and carried till 38 weeks and had a good outcome. Case Report: A 32-year-old nullipara presented to Infertility OPD at NIMS Medical College and Hospital with the chief complaint of inability to conceive in spite of having regular sexual intercourse for 12 years without using any contraception. Patient was then investigated, bicornuate Uterus identified. Infertility treatment was done by Intrauterine Insemination (IUI). Patient conceived and pregnancy continued till term uneventfully. Discussion: The prevalence of uterine anomalies is 7% - 8%. And now because of better availability of diagnostic modalities, better detection of such anomalies is possible. Bicornuate Uterus is a congenital uterine anomaly that results from defective lateral fusion of the paramesonephric ducts at about the tenth week of intrauterine life around the fundus. A bicornuate Uterus consists of two symmetric cornua that are fused caudad, with communication of the endometrial cavities—most often at the level of the uterine isthmus. In a partial bicornuate unicollis Uterus the intervening cleft is of variable length. Bicornuate Uterus has been reported to have the highest prevalence of cervical incompetence among mullerian anomalies. Prophylactic placement of cervical cerclage in selected patients has been reported to increase fetal survival rates.

Germ Immink - One of the best experts on this subject based on the ideXlab platform.

  • Tiener met recidiverende onderbuikspijn
    Tijdschrift voor Kindergeneeskunde, 2011
    Co-Authors: Jacolien Kruizinga, Germ Immink
    Abstract:

    Een patiënte van 14 jaar oud is bekend bij de kinderartsen wegens recidiverende buikpijnklachten, waarvoor bij uitgebreide anamnese en lichamelijk onderzoek geen verklaring werd gevonden. Bij beperkt laboratoriumonderzoek werden ook geen afwijkingen gevonden. Bij aanvullend echografisch onderzoek werd als toevalsbevinding een mononier links en een Uterus Bicornis gezien. De klachten werden geduid als functionele buikpijn. De patiënte en haar ouders leken hierdoor aanvankelijk gerustgesteld, totdat de patiënte zich enkele weken later presenteerde op de SEH met hevig krampende onderbuikspijn tijdens de vierde menstruatie na haar menarche.

  • Tiener met recidiverende onderbuikspijn
    Tijdschrift voor Kindergeneeskunde, 2011
    Co-Authors: Jacolien Kruizinga, Germ Immink
    Abstract:

    Een patiente van 14 jaar oud is bekend bij de kinderartsen wegens recidiverende buikpijnklachten, waarvoor bij uitgebreide anamnese en lichamelijk onderzoek geen verklaring werd gevonden. Bij beperkt laboratoriumonderzoek werden ook geen afwijkingen gevonden. Bij aanvullend echografisch onderzoek werd als toevalsbevinding een mononier links en een Uterus Bicornis gezien. De klachten werden geduid als functionele buikpijn. De patiente en haar ouders leken hierdoor aanvankelijk gerustgesteld, totdat de patiente zich enkele weken later presenteerde op de SEH met hevig krampende onderbuikspijn tijdens de vierde menstruatie na haar menarche.

Ma Yan-ping - One of the best experts on this subject based on the ideXlab platform.

Nwadjie Wekam Darolles - One of the best experts on this subject based on the ideXlab platform.