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双角子宫:一例罕见的在右侧子宫角成功足月妊娠的病例。

Bicornuate uterus: A rare case of a viable full term pregnancy in the right uterine horn.

作者信息

Ikhuoriah Teddy, Oboh David, Abramowitz Chiya, Musheyev Yakubmiyer

机构信息

New York Institute of Technology College of Osteopathic Medicine, 101 Northern Blvd, Glen Head, NY, 11545 USA.

Department of Medical Imaging, Prince Faisal Bin Khalid Cardiac Center (PFKCC), Abha, Aseer, Saudi Arabia.

出版信息

Radiol Case Rep. 2023 Apr 5;18(6):2107-2111. doi: 10.1016/j.radcr.2023.03.014. eCollection 2023 Jun.

Abstract

Bicornuate uterus is a rare congenital uterine malformation and structural abnormality that affects less than 05 % of women in the United States. Resulting pregnancies are rarely carried to term and commonly result in fetal abnormalities and complications such as decreased fertility and risks of complicated pregnancies such as spontaneous abortion and miscarriages, IUGR, preterm delivery, cervical incompetence, and fetal malpresentations. This report highlights a case in which a 32-year-old patient with a bicornis bicollis uterus who had a viable pregnancy in one of the uterine horns later delivered a live male neonate at term without complications via spontaneous vaginal delivery (SVD). The study underscores the importance of using the imaging modalities of ultrasonography, magnetic resonance imaging, and hysterosalpingograms to aid in the diagnosis and monitoring throughout the duration of the pregnancy.

摘要

双角子宫是一种罕见的先天性子宫畸形和结构异常,在美国影响不到0.5%的女性。由此导致的妊娠很少能足月分娩,通常会导致胎儿异常和并发症,如生育能力下降以及复杂妊娠的风险,如自然流产、稽留流产、胎儿生长受限、早产、宫颈机能不全和胎位异常。本报告重点介绍了一例双宫颈双角子宫的32岁患者,该患者在其中一个子宫角有存活的妊娠,后来足月经自然阴道分娩顺利产下一名男婴,无并发症。该研究强调了使用超声、磁共振成像和子宫输卵管造影等成像方式在整个孕期辅助诊断和监测的重要性。

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