Journal of pediatric and adolescent gynecology · 2011
Müllerian duct anomalies: successful endoscopic management of a hybrid bicornuate/septate variety.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
El Saman Ali M, Nasr Ahmed, Tawfik Reda M, Saadeldeen Hazeem S
Аннотация
STUDY OBJECTIVE: To highlight the coexistence of uterine septum in cases diagnosed as bicornuate uterus on basis of the external shape of uterine fundus.
STUDY DESIGN: Case report with description of the technique.
SETTING: Women's Health Assiut University Hospital.
PARTICIPANTS: An adolescent female with progressive pains dating since menarche.
INTERVENTIONS: Hysteroscopic resection under laparoscopic monitoring through an intact hymen.
MAIN OUTCOME MEASURE: Operative time, complications, postoperative abdominal pain, appearance of the uterine cavity
RESULTS: A patient with a septate uterus with a fundal depression and hemiuterine obstruction underwent hysteroscopic resection under laparoscopic monitoring. Laparoscopy was beneficial in diagnosis and treatment of associated pathology and monitoring the hysteroscopic procedure. Hysteroscopic metroplasty was performed and resulted in unification of the lower two thirds of the uterus. Dysmenorrhea was dramatically improved after the procedure. Subsequent office hysteroscopy confirmed restoration of a unified lower uterine corpus anatomy mimic to the original bicornuate state.
CONCLUSIONS: External fundal depression which characterizes bicornuate uterus was associated with a septate uterus with hemi uterine obstruction. This report demonstrates the coexistence of the two anomalies. Endoscopic management of this patient was safe and successful.
STUDY DESIGN: Case report with description of the technique.
SETTING: Women's Health Assiut University Hospital.
PARTICIPANTS: An adolescent female with progressive pains dating since menarche.
INTERVENTIONS: Hysteroscopic resection under laparoscopic monitoring through an intact hymen.
MAIN OUTCOME MEASURE: Operative time, complications, postoperative abdominal pain, appearance of the uterine cavity
RESULTS: A patient with a septate uterus with a fundal depression and hemiuterine obstruction underwent hysteroscopic resection under laparoscopic monitoring. Laparoscopy was beneficial in diagnosis and treatment of associated pathology and monitoring the hysteroscopic procedure. Hysteroscopic metroplasty was performed and resulted in unification of the lower two thirds of the uterus. Dysmenorrhea was dramatically improved after the procedure. Subsequent office hysteroscopy confirmed restoration of a unified lower uterine corpus anatomy mimic to the original bicornuate state.
CONCLUSIONS: External fundal depression which characterizes bicornuate uterus was associated with a septate uterus with hemi uterine obstruction. This report demonstrates the coexistence of the two anomalies. Endoscopic management of this patient was safe and successful.