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首页> 外文期刊>European Journal of Obstetrics, Gynecology and Reproductive Biology: An International Journal >A case of 20-week abortion in a rare communicating rudimentary horn of a misinterpreted unicornuate uterus, incorrectly diagnosed as bicornuate: A serious hazard!
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A case of 20-week abortion in a rare communicating rudimentary horn of a misinterpreted unicornuate uterus, incorrectly diagnosed as bicornuate: A serious hazard!

机译:一个罕见的宣传unicornuate子宫的罕见沟通20周堕胎的案例,被错误地被诊断为Bicornuate:严重危险!

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摘要

Female genital malformations, as the unicornuate uterus, are deviations from normal anatomy that could impair the reproductive potential of a woman or her health. We present a rare case of a 20-week spontaneous abortion in a 24 years old patient affected by a misunderstood unicornuate uterus with communicating rudimentary horn, previously diagnosed as bicornuate, and for this reason subjected to induction of abortive labor, using mifepristone and gemeprost. Following the ultrasound exam and MRI, performed due to the failure of the abortive procedure, revealed the diagnosis of unicornuate uterus with (not clear) communicating accessory horn pregnancy, then treated with laparotomy. 3D-ultrasonography, and above all MRI, should be performed in all those cases of suspected uterine anomalies, especially in presence of pregnancy or abortion, with the aim of avoiding wrong treatments, which leads to a high risk of uterine rupture. In this case, given the uncertainty of imaging exams performed in such an advanced second trimester of pregnancy, only the surgical approach was able to discover the real communication. (C) 2019 Elsevier B.V. All rights reserved.
机译:女性生殖器畸形,作为独角兽子,偏离正常解剖,这可能损害女人的生殖潜力或健康。我们在24岁的患者中展示了一个20周的自发流产,受到误解的独家Uterus,以沟通基本的角,以前被诊断为Bicornuate,以及使用米非司酮和Gemeprost诱导失产劳动的原因。在超声检查和MRI之后,由于中止程序的失败而进行,揭示了Unicornue子宫的诊断(不清楚)沟通配件喇叭妊娠,然后用剖腹手术治疗。 3D超声检查和最高版本,应在所有疑似子宫异常的情况下进行,特别是在怀孕或流产存在下进行,目的是避免错误的治疗,这导致子宫破裂的高风险。在这种情况下,鉴于在怀孕的如此高级妊娠中期进行的成像考试的不确定性,只有外科手术方法就能发现真实的沟通。 (c)2019年Elsevier B.V.保留所有权利。

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