Park Kristen E, Vestal Nicole L, Awadalla Michael S, Winer Sharon A
LAC+USC Medical Center, 2020 Zonal Avenue, IRD Room 533, Los Angeles, CA 90033, USA.
Case Rep Obstet Gynecol. 2021 May 19;2021:9912271. doi: 10.1155/2021/9912271. eCollection 2021.
Septate uteri have been associated with adverse pregnancy outcomes including spontaneous abortion, preterm delivery, and malpresentation. It is unclear if uterine septa are associated with infertility. Although some studies have shown improved pregnancy outcomes after septum resection, indications for resection are not well established. We describe a case of a woman with a large partial uterine septum diagnosed during workup for infertility who conceived without septum resection. Both of her subsequent pregnancies were initially breech presentations for which the patient underwent external cephalic version followed by full-term vaginal deliveries. This case adds evidence that an unresected uterine septum should not be considered a contraindication to external cephalic version.
纵隔子宫与不良妊娠结局相关，包括自然流产、早产和胎位异常。尚不清楚子宫纵隔是否与不孕有关。尽管一些研究表明纵隔切除术后妊娠结局有所改善，但切除的指征尚未明确确立。我们描述了一例在不孕症检查期间被诊断为大的部分子宫纵隔的女性病例，她未进行纵隔切除就怀孕了。她随后的两次妊娠最初均为臀位，患者接受了外倒转术，随后足月阴道分娩。该病例增加了证据，表明未切除的子宫纵隔不应被视为外倒转术的禁忌证。
