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First Trimester Uterine Rupture: A Case Report on a Patient with Unsuspected Müllerian Duct Anomaly
- Source :
- Open Journal of Obstetrics and Gynecology. 11:917-921
- Publication Year :
- 2021
- Publisher :
- Scientific Research Publishing, Inc., 2021.
-
Abstract
- Introduction: Mullerian malformations are a group of malformations that result from an alteration of embryonic development. Most cases are asymptomatic, however, in pregnant patients it has been associated with recurrent abortion or premature delivery. Case presentation: 12 + 2 weeks pregnant woman consulted for abdominal pain, vomiting and fever. During the study, a transvaginal ultrasound was performed, where two endometric cavities and a pregnancy in the right horn were observed. The evolution of the patient was torpid, reaching hypovolemic shock, resolved by an emergency laparotomy where the rupture of the right horn was found. Discussion: The bicornuate uterus is the consequence of a partial fusion of the paramesonephric ducts during the fetal development, resulting in two functional uterine horns. Patients with bicornuate uterus may be asymptomatic, a uterine rupture is a rare but potentially severe complication of the bicornuate uterus and is usually presented during first and second trimester. Conclusions: Pregnancy with Mullerian anomalies often has preterm delivery, IUGR and malpresentation, and even more severe complication as uterine ruptura, so, requires proper counselling and close monitoring during antenatal period.
- Subjects :
- medicine.medical_specialty
Pregnancy
Abdominal pain
Bicornuate uterus
Fetus
Obstetrics
business.industry
Strategy and Management
Mechanical Engineering
medicine.medical_treatment
Metals and Alloys
Uterine horns
medicine.disease
Asymptomatic
Industrial and Manufacturing Engineering
Uterine rupture
Laparotomy
medicine
medicine.symptom
business
Subjects
Details
- ISSN :
- 21608806 and 21608792
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Open Journal of Obstetrics and Gynecology
- Accession number :
- edsair.doi...........42d2489fdb53733e1baab3341c5d5198