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Implantation and In Utero Growth
Published in Arianna D'Angelo, Nazar N. Amso, Ultrasound in Assisted Reproduction and Early Pregnancy, 2020
Kugajeevan Vigneswaran, Ippokratis Sarris
Other uterine abnormalities that can be detected with ultrasound include unicornuate, didelphys, and bicornuate uteri. All have been shown to increase the risk of adverse reproductive outcomes, however not to the degree of impact that the septate uterus would cause [23]. Other factors such as the severity of the uterine abnormality can determine impact on outcomes. One such example would be bicornuate uteri. A complete bicornuate uterus can result in a 66% chance of a preterm delivery as opposed to a partial bicornuate uterus, which carries a risk of approximately 29% [24].
Uterine Anomalies and Recurrent Pregnancy Loss
Published in Howard J.A. Carp, Recurrent Pregnancy Loss, 2020
Daniel S. Seidman, Mordechai Goldenberg
A bicornuate uterus results from partial non-fusion of the Müllerian ducts (Figure 12.4). The central myometrium may extend to the level of the internal cervical os (bicornuate unicollis) or external cervical os (bicornuate bicollis). The latter is distinguished from uterus didelphys as there is some degree of fusion between the two horns, while in uterus didelphys, the two horns and cervices are separated completely. In addition, the horns of the bicornuate uteri are not fully developed; typically, they are smaller than those of didelphys uteri. Bicornuate uteri are probably the most common uterine anomaly after septate and arcuate uterus [17]. The reproductive outcome seems to be directly correlated with the severity of fundal indentation. It is generally considered that the bicornuate uterus does not directly affect infertility but may be linked with RPL. Bicornuate uterus can be corrected surgically by metroplasty.
Female reproductive system
Published in Aida Lai, Essential Concepts in Anatomy and Pathology for Undergraduate Revision, 2018
Bicornuate uterus Congenital abnormalityTwo uterine cavities and one vaginal opening
Analysis of the cause of recurrent pregnancy loss in Vietnam: A cross-sectional study
Published in Health Care for Women International, 2018
Thi Anh Dao Le, Duy Anh Nguyen, Thanh Van Ta, Van Minh Hoang
Compared to the findings of Dendrinos that abnormalities of the uterus caused 13% of RPL (Dendrinos & Sakkas, 2009), in this study we found 3.99% RPL women having uterine abnormalities. The most common uterine abnormality was fibroid. Nine cases of uterine fibroids with an average size of 46.62 × 38.87 mm were found. The two dimensions of the fibroma (≥4 cm), which is a real threat to fetal development, were recorded in this study. We only found two cases of bicornuate uterus and one case of uterine septum. This study was conducted when the patients were pregnant, so only vaginal ultrasound was used to assess the morphology of the uterus. In women who are not pregnant, it is possible to perform a hysteroscopy or hysterosonography to evaluate the uterine abnormalities more accurately.
Craniopharyngioma in a young woman with symptoms presenting as mechanical neck pain associated with cervicogenic headache: a case report
Published in Physiotherapy Theory and Practice, 2021
Firas Mourad, Fabio Cataldi, Alberto Patuzzo, Sara Tunnera, James Dunning, César Fernández-de-las-Peñas, Filippo Maselli
Review of the past medical history, including a review of systems, was performed. The patient reported poor sleep. She denied unexplained recent weight loss and any changes in bowel or bladder function. In addition, the patient reported a family based hypothyroidism and a 3-year history of amenorrhea. The patient also recently underwent uterine surgery due to the presence of bicornuate uterus. Due to the worsening of head and neck pain, and also lethargy, the patient was progressively attempting to reduce her work activities and activities of daily living. Therefore, the patient was seeking treatment from the physiotherapist for her neck pain and headaches that reportedly were getting rapidly more intense and disabling.
A rare case of cervical dysplasia
Published in Journal of Obstetrics and Gynaecology, 2020
Sarmed Sami Khunda, Taghreed Hmod, Rasha Abbas, Aethele Khunda
A 15-year-old patient presented with primary amenorrhoea, cyclical lower abdominal pain and persistent backache for three years. Her secondary sexual characteristics were normal and her karyotype was 46 XX. A pelvic magnetic resonance imaging scan reported a mildly bicornuate uterus with haematometra, but normal vagina and ovaries. A diagnostic laparoscopy in a District General Hospital showed that her uterus and fallopian tubes were distended with blood, with a normal vagina and vaginal part of the cervix, but the uterine cavity could not be accessed via the cervix. An intravenous urogram showed a normal urinary tract. Upon a repeat laparoscopy in our hospital, the above findings were confirmed, but also it was established that the vaginal portion of the cervix was detached from the uterine body as the vaginally inserted cervical dilator was seen retroperitoneally on laparoscopy, separate from the phimosed isthmic part of the distended uterus. A laparotomy was performed and the uterine body was bisected at the fundus. Blood was drained and the uterine isthmus was then perforated with a cervical dilator inserted via its cavity and dilated up to 8 mm. The vaginal portion of the cervix was identified with the help of the vaginally inserted dilator (Figure 1) and the two parts of the cervix were joined with interrupted Vicryl 1® sutures (Ethicon, Johnson and Johnson, Somerville, MA, USA) in two layers. An indwelling catheter was left in the anastomosed canal for three weeks. The patient made an uneventful recovery and menstruated for the first time after three weeks spontaneously. The catheter was then removed. After the second menstrual period, a hysterogram confirmed patency of the genital tract. The patient was 6 months post-surgery at the time of writing this report and was menstruating normally.