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Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus

机译:Strassman开放性成形术治疗双角膜子宫成功的妊娠结局

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Introduction. Müllerian duct anomalies represent a group of congenital malformations that result from failure to complete bilateral paramesonephric duct elongation, fusion, canalization, or septal resorption. These anomalies are rare in the general population with a bicornuate or didelphys uterus being among the common ones. Bicornuate uterine malformations are of clinical significance due to their adverse reproductive outcomes. Metroplasty has been shown to improve reproductive outcomes of bicornuate uterine malformations. We document a case of bicornuate uterus that was managed with Strassman metroplasty and a subsequent successful pregnancy outcome. Case. A Black African lady was seen with a history of six prior miscarriages. Her diagnostic workup revealed a bicornuate uterus for which she had a Strassman metroplasty performed. She later conceived and was followed up to term with a successful live birth. Conclusion. Strassman metroplasty is a rare procedure in Sub-Saharan Africa and this case seeks to add to the body of knowledge on surgical management of Müllerian duct anomalies specifically bicornuate uterus in this region. This case report aims to increase the awareness of Müllerian duct abnormalities specifically bicornuate uterus in cases of recurrent miscarriages and highlight the diagnostic strategies to investigate and to demonstrate management options in low resource settings.
机译:介绍。苗勒氏管异常代表一组先天性畸形,是由于无法完成双侧中肾副肾上腺导管延长,融合,导管化或间隔吸收而引起的。这些异常在普通人群中很少见,常见的有双角子宫或双子宫。双角形子宫畸形由于其不利的生殖结果而具有临床意义。业已证明,矫形术可改善双角形子宫畸形的生殖结果。我们记录了一例经Strassman子宫成形术治疗的双角子宫和随后成功的妊娠结局。案件。一名黑人非洲妇女曾有六次流产史。她的诊断检查结果显示双角子宫,并为此进行了Strassman子宫成形术。她后来怀孕,并进行了成功的活产随访。结论。在撒哈拉以南非洲,Strassman整形术是一种罕见的手术,该病例旨在增加有关该地区Müllerian导管异常(特别是双角子宫)的外科手术治疗的知识。该病例报告旨在提高人们对流产反复发生的缪勒氏管异常(特别是双角子宫)的认识,并着重指出诊断策略,以研究和证明在资源贫乏地区的管理选择。

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