Fertility and sterility · 2007
Leiomyoma on the septum of a septate uterus with double cervix and vaginal septum: a challenge to manage.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Caliskan Eray, Cakiroglu Yiğit, Turkoz Erkan, Corakci Aydin
Аннотация
OBJECTIVE: To describe the first case of a leiomyoma localized in the septum of a septate uterus that had cervical duplication and a longitudinal vaginal septum.
DESIGN: Case report.
SETTING: A university hospital.
PATIENT(S): A 43-year-old patient with primary infertility and complaint of menorrhagia.
INTERVENTION(S): Laparotomy, adhesiolysis, myomectomy, and resection of the vaginal septum in the first operation. Hysteroscopic resection of the complete uterine septum in the second operation.
MAIN OUTCOME MEASURE(S): Magnetic resonance imaging findings and two-step repair of the anomaly. Cervical length at second trimester.
RESULT(S): Restoration of normal anatomy was achieved after correct diagnosis and a two-step operation procedure. A normal cervical length was measured at 26 weeks of gestation.
CONCLUSION(S): Large leiomyoma at rare localizations in the presence of uterine anomalies is a diagnostic challenge, but with available diagnostic technology and appropriate operations, successful results can be obtained.
DESIGN: Case report.
SETTING: A university hospital.
PATIENT(S): A 43-year-old patient with primary infertility and complaint of menorrhagia.
INTERVENTION(S): Laparotomy, adhesiolysis, myomectomy, and resection of the vaginal septum in the first operation. Hysteroscopic resection of the complete uterine septum in the second operation.
MAIN OUTCOME MEASURE(S): Magnetic resonance imaging findings and two-step repair of the anomaly. Cervical length at second trimester.
RESULT(S): Restoration of normal anatomy was achieved after correct diagnosis and a two-step operation procedure. A normal cervical length was measured at 26 weeks of gestation.
CONCLUSION(S): Large leiomyoma at rare localizations in the presence of uterine anomalies is a diagnostic challenge, but with available diagnostic technology and appropriate operations, successful results can be obtained.