scholarly journals Successful outcome in a perplexing case of Roberts uterus: a rare uterine anomaly! A rare case report with review of literature

2019 ◽  
Vol 9 (1) ◽  
pp. 440
Author(s):  
Swati Singh ◽  
Renuka Malik ◽  
Pooja Gupta ◽  
Anjum Ara
Keyword(s):  
Gestational Hypertension ◽  
Uterine Cavity ◽  
Breech Presentation ◽  
Endocrine Function ◽  
Successful Outcome ◽  
Female Resident ◽  
Unicornuate Uterus ◽  
Rare Case Report ◽  
Married Female ◽  
Uterine Fundus

Robert uterus is a rare Mullerian development anomaly with very few cases reports available. It presents with triad of morphologic features of - Blind hemi cavity with or without unilateral hematometra, contralateral unicornuate uterine cavity and normal uterine fundus with or without small external indentation. The major difficulty lies in making the diagnosis of Robert’s uterus. All the reported cases of Robert’s uterus have been managed differently according to patient’s complaints. A 25-year-old married female, resident of Agra presented to gynecology OPD of Dr RML Hospital and associated PGIMER in June 2013, with primary infertility and cyclical left sided dysmenorrhoea since menarche. Patient was consulting at her hometown Agra for 2 years and had an USG and MRI pelvis report of Feb. 2013 with her showing unicornuate uterus with rudimentary horn. Infertility investigations were done in our hospital. HSG report was of localized spill on right with left tubal block. Patient was posted for diagnostic hystero-laproscopy which was further followed by laprotomy, after which we could reach to a diagnosis of Robert uterus with non-communicating left cavity and with severe endometriosis. Patient needed a second hysteroscopy for lysis of septum and subsequently conceived with IVF. She delivered a healthy male baby of 2.65 kg by elective LSCS at 37 weeks with associated breech presentation with gestational hypertension with severe IHCP on 20 June 2019. Paediatric surgeons and gynecologists should be aware of this rare atypical obstructive Mullerian malformation and its management to avoid inappropriate management delays in these patients. A timely diagnosis and definite treatment have a great impact on future reproductive and endocrine function.

scholarly journals Uterine necrosis following B Lynch suture: a rare complication

2018 ◽  
Vol 7 (2) ◽  
pp. 745
Author(s):  
Susheela Chaudhary ◽  
Parul Singh ◽  
Meenakshi B. ◽  
Anjali Gupta ◽  
Monika Ramola
Keyword(s):  
Postpartum Haemorrhage ◽  
Rare Complication ◽  
Breech Presentation ◽  
Uterine Wall ◽  
Artery Ligation ◽  
Asherman’S Syndrome ◽  
Uterine Artery Ligation ◽  
Endometrial Cavity ◽  
Variable Extent ◽  
Uterine Fundus

The B-Lynch uterine suture brace is a relatively new technique used for treatment of postpartum haemorrhage. These uterine compression sutures have achieved hemostasis while preserving fertility in many women and thus their efficacy and safety have been time tested. Very few complications have been reported following B Lynch suture. These include Asherman’s syndrome, hematometra, pyometra, localized areas of uterine necrosis and full-thickness defects in the lower uterine segment or uterine fundus and erosion of uterine wall. Herewith, reporting a case of 23-year-old woman who underwent cesarean section for breech presentation. She had atonic PPH for which uterine artery ligation was done along with B-lynch suture. She developed uterine necrosis for which hysterectomy was done. Microsections showed that endometrial cavity was filled with gangrenous slough extending to variable extent in myometrium and cervix.

scholarly journals Epidemiological, clinical, prognostic and therapeutic aspects of twin delivery in two referral maternity units in Dakar (Senegal)

2018 ◽  
Vol 7 (2) ◽  
pp. 364
Author(s):  
Omar Gassama ◽  
Magatte Mbaye ◽  
Aminata Niass ◽  
Diodio Boye ◽  
Babacar Biaye ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Twin Pregnancy ◽  
Placenta Previa ◽  
Uterine Cavity ◽  
Breech Presentation ◽  
Premature Delivery ◽  
Time Interval ◽  
Maternal Complications ◽  
Twin Delivery ◽  
Second Twin

Background: Twin pregnancy is the simultaneous development of two embryos and then two fetuses in the uterine cavity. Objective of present study was to assess the epidemiological, clinical, prognostic and therapeutic aspects of twin delivery in two referral maternity units in Dakar.Methods: A descriptive and analytical retrospective bi-centric study of all cases of twin deliveries recorded in two referral center in Dakar was conducted during the period January 1st, 2005-December 31st, 2015, i.e. an 11-year period. It concerned 619 pregnant women who gave birth to twins in these two referral medical structures. The epidemiological parameters, clinical, prognostic and therapeutic aspects of twin childbirth were studied. The data were entered and analysed using Epi info version 3.5.3.Results: The twinning prevalence was 1.11%. The majority of our parturient women (506 or 81.7% of the cases) came from the Dakar suburbs. The average age of the parturient women was 28 years and the gestity age 3.1. Pregnancy was well monitored for 98.5% of the parturient women with an average number of prenatal consultations of 3.6. The first prenatal consultation was performed in 52% of cases in the first quarter. In more than one third of cases (234 or 37.8%), the diagnosis was made in the third quarter of pregnancy. 113 cases (18.2%) of premature rupture of membranes, 10 cases (1.61%) of threat of premature delivery and 7 cases (11.13%) of placenta previa were registered. During labour, the diagnosis was made by clinical examination in 32.2% of cases. Bichorial biamniotic twin pregnancy was the most frequent anatomical type (62.6%). On admission, the first twin (T1) was in cephalic presentation in 56.7%, in breech presentation in 15.2%; The second twin (T2) was in breech presentation in 21.1% of the cases. Caesarean section was related to the first twin in 50.6% and the second twin in 53.8% of the cases. Caesarean section was performed in 50.6% for the first twin and in 53.8% for the second twin. The mean time interval between the delivery of T1 and that of T2 was 17.4 min. Low birth weight was more frequent for the second twin (54.3%). The stillbirth rate was 48.26 per thousand. Maternal complications were dominated by renal-vascular syndromes (4.2%), haemorrhagic causes (1.86%), perineal lesions (1.6%) and uterine rupture (0.97%). Postpartum haemorrhage was observed in 8 cases (1.29%). Maternal mortality was nilConclusions: Twin delivery poses varying difficulties due to the complexity of obstetrical mechanics and the frequency of dystocic presentations. Despite improved maternal prognosis, in recent years, perinatal mortality and morbidity, still high, remain a constant concern.

scholarly journals Pregnancy in bicornuate uterus

2017 ◽  
Vol 7 (1) ◽  
pp. 346
Author(s):  
D. Borgohain ◽  
Shubhi Srivastava
Keyword(s):  
Successful Outcome ◽  
Septate Uterus ◽  
Bicornuate Uterus ◽  
Unicornuate Uterus ◽  
Mesonephric Duct ◽  
Embryonic Life ◽  
History Of ◽  
Uterine Malformations ◽  
The Subject ◽  
Growth Restrictions

The incidence of the uterine malformations is estimated to be 3% to 5% in the general population. Abnormal fusion of the mesonephric duct (Mullerian duct) during embryonic life results in a variety of congenital uterine malformations like septate uterus, unicornuate uterus, and bicornuate uterus. Fertility and evolution of pregnancy depends on the type of uterine anomaly. Many of them are asymptomatic but it is important to consider this diagnosis in recurrent miscarriages, preterm labours, malpresentations, and intrauterine growth restrictions. We are presenting a 22-years-old pregnant woman with a history of abortion. The patient was not diagnosed with a bicornuate uterus in her first pregnancy. However, she was diagnosed with a bicornuate uterus based on the findings of ultrasound in the present pregnancy. A successful caesarean section was performed on the subject in the 39th week of gestation. According to the results, successful outcome could be achieved in patients with bicornuate uterus.

Pregnancy in unicornuate uterus without rudimentary horn: a case report

2020 ◽  
Vol 9 (12) ◽  
pp. 5144
Author(s):  
Akanksha Jain ◽  
Nitesh Kumar Singh
Keyword(s):  
Pregnancy Outcome ◽  
Elective Caesarean Section ◽  
Breech Presentation ◽  
Growth Restriction ◽  
Growth Monitoring ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Uterine Growth ◽  
Intra Uterine Growth Restriction ◽  
Poor Pregnancy Outcome

A unicornuate uterus is associated with numerous obstetric and gynaecological complications such as infertility, endometriosis, miscarriage, malpresentations, and intrauterine growth restriction. Around 2.3-13% of Mullerian duct anomalies present as unicornuate uterus. Management of unicornuate uterus is still uncertain and it leads to poorer pregnancy outcome. We present here a case of 26-year-old primigravida who presented to us with 40-weeks pregnancy associated with breech presentation. She was taken for elective caesarean section and intra-operatively she was found to have unicornuate uterus without rudimentary horn. Unicornuate uterus is associated with poor pregnancy outcome but a successful pregnancy is possible. Usual presentation of patients with unicornuate uterus is near their menarche and they have higher than usual gynaecological complications. Pregnancies in unicornuate uterus are prone to intra uterine growth restriction hence serial ultrasound should be done for regular fetal growth monitoring.

scholarly journals Haematometra in one half of the uterus or rudimentary horn?

1970 ◽  
Vol 2 (1) ◽  
pp. 59-62
Author(s):  
Suniti Rawal ◽  
Josie Baral ◽  
Meeta Singh ◽  
Samira Khan ◽  
Beemba Shakya ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Key Words ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Post Operative Period ◽  
Endometriotic Cyst

A unicornuate uterus with functioning and non communicating rudimentary horn is a rare Mullerian abnormality, difficult to diagnose at times usually low in the list of differential diagnosis for pelvic pain and dysmenorrhea. A 22 years P1 presented with severe lower abdominal pain and dysmenorrhoea, following laparotomy that was done for endometriotic cyst of left ovary 7 months back. Radiographic studies revealed the haematometra in the rudimentary horn with normal uterus, right ovary and the tube. Laparotomy with drainage of haematometra and excision of septum along with the reconstruction of uterine cavity was performed thus anatomizing it with the cavity of the rudimentary horn. Both the intra and the post operative period were uneventful. She was discharged on OCP along with the advice to follow up regularly. She is asymptomatic till date. Key words: Endometriosis, haematometra, rudimentary horn doi:10.3126/njog.v2i1.1480 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 59 - 62 May -June 2007

scholarly journals Fish in Hypopharynx: A Rare Case Report

2015 ◽  
Vol 7 (2) ◽  
pp. 81-82
Author(s):  
Rabindra Kumar Khatua
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Rare Case ◽  
Management Strategies ◽  
Upper Airway ◽  
Successful Outcome ◽  
Emergency Airway ◽  
Rare Case Report ◽  
History Of ◽  
Severe Airway Obstruction

ABSTRACT We present a case of a 10 years old child who swallowed a live fish, which resulted in severe upper airway obstruction. The child presented to the casuality with severe airway obstruction with a history of accidental slippage of a live Koi fish into the throat. He was restless, dysphasic, dyspneic, typically placing his hands in front of his neck. On physical examination, there was suprasternal retraction and bilateral decreased breath sound. Direct laryngoscopy was done and fish was removed from hypopharynx as an emergency procedure. We outline our emergency airway management strategies and focus our discussion on the technique used to remove the impacted fish from the upper airway, which was paramount for the successful outcome of this case. How to cite this article Khatua RK. Fish in Hypopharynx: A Rare Case Report. Int J Otorhinolaryngol Clin 2015;7(2):81-82.

scholarly journals PSEUDO UNICORNUATE UTERUS: CLINICAL CASE AND LITERATURE REVIEW

2021 ◽  
Vol 9 (4) ◽  
pp. 649-652
Author(s):  
Rana Watfeh ◽  
◽  
Rania Nejjar ◽  
A. Ansari Chenguiti ◽  
M. Yousfi ◽  
...  
Keyword(s):  
Health Center ◽  
Clinical Case ◽  
Breech Presentation ◽  
Primiparous Woman ◽  
Developmental Arrest ◽  
Unicornuate Uterus ◽  
Uterine Malformation ◽  
Uterine Anomalies ◽  
Scarred Uterus ◽  
H 30

The pseudo unicornuate uterus is a rare uterine malformation resulting from incomplete unilateral Müllerian aplasia and is estimated to occur in about 10-14% of all uterine anomalies. It is the consequence of a developmental arrest of one of Mullers ducts, which results in a normal hemi-uterus and a rudimentary horn with or without a cavity. We present a case that illustrates this pathology: This is Mrs. S. H, 30 years old, without any notable history, G2P2, G1: the first pregnancy was followed normally at the health center and the delivery took place by cesarian section for breech presentation in a primiparous woman at term, G2: The second pregnancy was followed up until 39 weeks of amenorrhea at the health center, admitted in early labor, obstetrical ultrasound revealed a single fetal pregnancy with breech presentation, the indication for extraction by the high route was indicated for breech presentation in a scarred uterus. On exploration we noted the presence of a right hemi-uterus in which the pregnancy had developed with a homolateral horn and adnexa, and a small rudimentary remnant on the left continuing with a tube.

scholarly journals The Risk of Expulsion is Higher in IUD-Endometrium Distance of More than 10 mm

2016 ◽  
Author(s):  
Teguh Senjaya
Keyword(s):  
Vaginal Delivery ◽  
Obstet Gynecol ◽  
Index Finger ◽  
Average Distance ◽  
Uterine Cavity ◽  
Gestation Age ◽  
Post Placental ◽  
Uterine Fundus

Objective: To acknowledge the rate of expulsion in post placental IUD CuT-380A insertion after vaginal delivery. Method: Postplacental IUD Cu T-380A insertion was performed at least 10 minutes after the placenta has been delivered by inserting IUD Cu T-380A in uterine cavity using index finger, and positioned the IUD in uterine cavity and pushed as high as possible directly to the uterine fundus. Then the IUD-endometrium distances were checked using transvaginal USG on the seventh and forty second day after IUD insertion. Result: From May and August 2012 has been done post placental IUD Cu T-380A set in 38 women, found that average of women age was ≥ 30 years old (34.21%), multi parities (63.16%), and gestation age for 37-42 weeks (100%). In this study found that three expulsion cases. Totally expulsion found in 2 cases, each found in days of 16 with averages distances of IUD and endometrium for 16.8 mm and in days of 19 with average distances of IUD-ED for 13.5 mm after IUD set. While partially expulsion found in 1 case, occurred in days of 11 after IUD set with average distance IUD-ED for 13.2 mm. Conclusion: IUD Cu T-380A set after vaginal delivery that observed for 42 days found that 3 (7.89%) peoples have expulsion. There is significant correlation the distance between IUD and ED in expulsion occurrences. [Indones J Obstet Gynecol 2013; 37-1: 26-31] Keywords: expulsion, post placental IUD Cu T-380A

scholarly journals Unicornuate uterus with functional non communicating rudimentary horn: a refractory cause of dysmenorrhea

2020 ◽  
Vol 9 (2) ◽  
pp. 874
Author(s):  
Manju Agarwal ◽  
Rakhee Soni ◽  
Madhureema Verma
Keyword(s):  
Uterine Cavity ◽  
Signs And Symptoms ◽  
Uterine Horn ◽  
Mullerian Duct ◽  
Rare Type ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Müllerian Duct Anomaly

Mullerian duct anomalies are rare. Unicornuate uterus with a non-communicating rudimentary horn is a rare type of mullerian duct anomaly which occurs due to defective fusion of malformed duct with contralateral duct. The incidence is approximately 1:100000. Patient usually remain asymptomatic due to the absence of functional endometrium in most of the cases. If the rudimentary uterine horn has an endometrium lined uterine cavity and doesn’t communicate externally then the signs and symptoms of obstructed menstruation appears, as soon as menarche begins. It will be associated with severe dysmennorhoea and hematometra. Other complications may be abdominal lump, chronic pelvic pain, infertility, endometriosis, adenomyosis and ectopic pregnancy in rudimentary horn. Authors are presenting a case of refractory dysmenorrhea with lump abdomen in a patient with unicornuate uterus with functional non communicating horn. In a patient with refractory dysmenorrhea mullerian duct anomaly should be kept as differential diagnosis.

Complete asymptomatic fundal rupture of the uterus in the first stage of labor

2020 ◽  
Vol 69 (2) ◽  
pp. 83-88
Author(s):  
Marina N. Mochalova ◽  
Lyubov A. Kuzmina ◽  
Anastasia Yu. Mironenko ◽  
Igor B. Likhanov ◽  
Viktor A. Mudrov
Keyword(s):  
Postpartum Period ◽  
Clinical Observation ◽  
Uterine Cavity ◽  
Satisfactory Condition ◽  
Pain Syndromes ◽  
Uterine Inertia ◽  
Uterine Scar ◽  
Uterine Fundus ◽  
First Stage Of Labor ◽  
Previous Cesarean

A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article. During clinical observation, the patient did not have hemorrhagic and pain syndromes. Operative delivery was performed due to primary uterine inertia. A newborn did not show any signs of asphyxia. During the operation, a rounded defect of 4 5 cm in size, penetrating the uterine cavity, was detected in the uterine fundus. It was sutured with a triple-row suture. The area of the lower segment was thinned to 2 mm, with deformation and defects not detected. In the postpartum period, subinvolution of the uterus was noted. The patient was discharged from hospital in satisfactory condition on the 10th day of the postpartum period.

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