scholarly journals Congenital Uterine Malformation by Experts (CUME): better criteria for distinguishing between normal/arcuate and septate uterus?

2018 ◽  
Vol 51 (1) ◽  
pp. 101-109 ◽  
Author(s):  
A. Ludwin ◽  
W. P. Martins ◽  
C. O. Nastri ◽  
I. Ludwin ◽  
M. A. Coelho Neto ◽  
...  
Keyword(s):  
Septate Uterus ◽  
Uterine Malformation ◽  
Congenital Uterine Malformation

scholarly journals Uterine Fundus Remodeling after Hysteroscopic Metroplasty: A Prospective Pilot Study

2021 ◽  
Vol 10 (2) ◽  
pp. 260
Author(s):  
Paolo Casadio ◽  
Giulia Magnarelli ◽  
Mariangela La Rosa ◽  
Andrea Alletto ◽  
Alessandro Arena ◽  
...  
Keyword(s):  
Wall Thickness ◽  
Transvaginal Ultrasound ◽  
Three Dimensional ◽  
Second Step ◽  
Septate Uterus ◽  
Uterine Malformation ◽  
Uterine Septum ◽  
Uterine Fundus ◽  
Congenital Uterine Malformation

The septate uterus is the most common congenital uterine malformation and is treated by hysteroscopic metroplasty. There are few studies on the fundal uterine changes that occur after surgery. We designed a pilot prospective observational study to evaluate by three-dimensional transvaginal ultrasound (3D-TVS) the changes not only of the internal fundal uterine profile, but also of the external one, after hysteroscopic metroplasty. Sixty women who underwent hysteroscopic metroplasty for partial or complete uterine septum (U2a and U2b subclasses of ESHRE/ESGE classification) were enrolled. We performed 3D-TVS after surgery confirming optimal removal of the septum. However, at ultrasound follow-up after three months, we observed a significant increase (p < 0.001) in the residual septum (Zr) (3.7 mm (95% CI: 3.1–4.4)), the myometrial wall thickness (Y) (2.5 mm (95% CI: 2.0–3.0)) and the total fundal wall thickness (Y + Zr) (6.2 mm (95% CI: 5.5–6.9)). Forty-three patients (72%) required a second step of hysteroscopic metroplasty. Moreover, the shape of uterine fundus changed in 58% of cases. We actually observed a remodeling of the uterine fundus with modifications of its external and internal profiles. Therefore, we propose to always perform a second ultrasound look at least three months after the metroplasty to identify cases that require a second- step metroplasty.

scholarly journals Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Iori Kisu ◽  
Kanako Nakamura ◽  
Tetsuro Shiraishi ◽  
Tomoko Iijima ◽  
Moito Iijima ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Uterine Wall ◽  
Septate Uterus ◽  
Case Presentation ◽  
Surgical Interventions ◽  
Unicornuate Uterus ◽  
Uterine Malformation ◽  
Mullerian Anomaly ◽  
Future Pregnancy

Abstract Background Robert’s uterus is a rare Mullerian anomaly, which can be described as an asymmetric, septate uterus with a non-communicating hemicavity. Herein, we present the case of a misdiagnosed Robert’s uterus, resulting in an invasive and disadvantageous surgery. Case presentation A 16-year-old woman was referred to our department because of dysmenorrhea and suspicion of uterine malformation. We misdiagnosed Robert’s uterus as a unicornuate uterus with a non-communicating rudimentary horn and hematometra, and performed laparoscopic hemi-hysterectomy. Although the patient’s symptoms were relieved, our surgical procedure left the lateral uterine wall weak, making the patient’s uterus susceptible to uterine rupture in any future pregnancy. Conclusions Although the early diagnosis of Robert’s uterus is challenging, it is important in order to determine appropriate surgical interventions and management for maintaining the quality of life and ensuring safety in future pregnancies.

scholarly journals P03.01: T‐shaped uterus by congenital uterine malformation by experts (CUME): interrater reliability of useful measurements

2019 ◽  
Vol 54 (S1) ◽  
pp. 161-161
Author(s):  
A. Ludwin ◽  
M.A. Coelho Neto ◽  
I. Ludwin ◽  
C.O. Nastri ◽  
W.C. Borges ◽  
...  
Keyword(s):  
Interrater Reliability ◽  
Uterine Malformation ◽  
Congenital Uterine Malformation

scholarly journals Spontaneous Twin Pregnancy in Uterus Bicornis Unicollis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Arzu Doruk ◽  
Ilay Gozukara ◽  
Güneş Burkaş ◽  
Esin Bilik ◽  
Talat Umut Kutlu Dilek
Keyword(s):  
Caesarean Section ◽  
Three Dimensional ◽  
Rare Occurrence ◽  
Premature Rupture ◽  
Bicornuate Uterus ◽  
Uterine Malformation ◽  
Spontaneous Labour ◽  
Mullerian Ducts ◽  
Uterus Bicornis ◽  
Congenital Uterine Malformation

Abnormal fusion of the Müllerian ducts or failure of resorption of the septum causes varying degrees of congenital uterine malformation. They are often associated with reproductive problems such as miscarriage, premature labour, premature rupture of the membranes, or malpresentation. Twin gestation in a case of bicornuate uterus is extremely rare. A 37-year-old multiparous woman conceived a twin dichorionic diamniotic pregnancy spontaneously. Three-dimensional ultrasound revealed bicornuate uterus with one embryo in each cavity. Perinatal course was uneventful. At 35 weeks of pregnancy, spontaneous labour started and twin babies were delivered by bilateral low transvers caesarean section. Because of the rare occurrence of twin gestation in bicornuate uterus, there is no uniform guideline to manage these cases appropriately. Delivery by planned caesarean section could avoid the possible obstetric complications by dystocia.

scholarly journals A Rare Uterine Malformation: Asymmetric Septate Uterus

2018 ◽  
Vol 25 (1) ◽  
pp. 28-29 ◽  
Author(s):  
Alper Biler ◽  
Ali Akdemir ◽  
Nuri Peker ◽  
Fatih Sendag
Keyword(s):  
Septate Uterus ◽  
Uterine Malformation

scholarly journals Congenital Uterine Malformation by Experts ( CUME ): diagnostic criteria for T‐shaped uterus

2020 ◽  
Vol 55 (6) ◽  
pp. 815-829 ◽  
Author(s):  
A. Ludwin ◽  
M. A. Coelho Neto ◽  
I. Ludwin ◽  
C. O. Nastri ◽  
W. Costa ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Uterine Malformation ◽  
Congenital Uterine Malformation
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