Term Pregnancy in a Patient with Septate Uterus: Incidental Finding at Caesarean Section

Abstract

Mullerian duct anomalies are the most common congenital anomalies of the reproductive system and septate uterus is the most frequently diagnosed Müllerian anomaly. The true incidence of Mullerian duct anomalies is difficult to state because some cases may be asymptomatic and there are pitfalls associated with various diagnostic methods. This is a case report of a 17-year-old primigravida with septate uterus diagnosed at caesarean section performed at term for cephalo-pelvic disproportion. Baby was delivered with bilateral talipes equinovarus.

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Adesiyun, A. , Avidime, S. , Umar, H. , Akafa, R. and Aliyu, R. (2014) Term Pregnancy in a Patient with Septate Uterus: Incidental Finding at Caesarean Section. Case Reports in Clinical Medicine, 3, 114-117. doi: 10.4236/crcm.2014.33028.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Pang, L.-H., Li, M.-J., Li, M.Q., Xu, H. and Wei, Z.-L. (2011) Not Every Subseptate Uterus Requires Surgical Correction to Reduce Poor Reproductive Outcome. International Journal of Gynecology & Obstetrics, 115, 260-263.
http://dx.doi.org/10.1016/j.ijgo.2011.07.030
[2] The American Fertility Society (1988) Classifications of Adnexal Adhesions, Distal Tubal Occlusion, Tubal Occlusion Secondary to Tubal Ligation, Tubal Pregnancies, Müllerian Anomalies and Intrauterine Adhesions. Fertility and Sterility, 49, 944-955.
[3] Zlopasa, G., Skrablin, S., Kalafatic, D., Banovic, V. and Lesin, J. (2007) Uterine Anomalies and Pregnancy Outcome Following Resectoscope Metroplasty. International Journal of Gynecology & Obstetrics, 98, 129-133.
http://dx.doi.org/10.1016/j.ijgo.2007.04.022
[4] Heinonen, P.K. (2006) Complete Septate Uterus with Longitudinal Vaginal Septum. Fertility and Sterility, 85, 700-705.
http://dx.doi.org/10.1016/j.fertnstert.2005.08.039
[5] Raga, F., Bauset, C., Remohi, J., Bonilla-Musoles, F., Simon, C. and Pellicer, A. (1997) Reproductive Impact of Congenital Müllerian Anomalies. Human Reproduction, 12, 2277-2281. http://dx.doi.org/10.1093/humrep/12.10.2277
[6] Creasy, R.K. and Resnik, R. (1994) Maternal-Fetal Medicine: Principles and Practice. W.B. Saunders, Philadelphia 447.
[7] Faivre, E., Fernandez, H., Deffieux, X., Gervaise, A., Frydman, R. and Levaillant, J.M. (2012) Accuracy of Three-Dimensional Ultrasonography in Differential Diagnosis of Septate and Bicornuate Uterus Compared with Office Hysteroscopy and Pelvic Magnetic Resonance Imaging. Journal of Minimally Invasive Gynecology, 19, 101-106.
http://dx.doi.org/10.1016/j.jmig.2011.08.724
[8] Nicolini, U., Bellotti, M., Bonazzi, B., Zamberletti, D. and Candiani, G.B. (1987) Can Ultrasound Be Used to Screen Uterine Malformations? Fertility and Sterility, 47, 89-93.
[9] Pellerito, J.S., McCarthy, S.M., Doyle, M.B., Glickman, M.G. and DeCherney, A.H. (1992) Diagnosis of Uterine Anomalies: Relative Accuracy of MR Imaging, Endovaginal Sonography and Hysterosalpingography. Radiology, 183, 795-800.
[10] Dabirashafi, H., Bahadori, S., Mohammed, K., Alavi, M., Moghadami-Tabrizi, N., Zandinejad, K., et al. (1995) Septate Uterus: New Idea on the Histological Features of the Sepyum in This Abnormal Uterus. American Journal of Obstetrics & Gynecology, 171, 105-107. http://dx.doi.org/10.1016/0002-9378(95)90093-4
[11] Balen, A.H. (2008) Tubal Infertility and Fibroid. In: Infertility in Practice, Informa, London, 239-257.
http://dx.doi.org/10.3109/9781439807224.011
[12] Ozgur, K., Isikoglu, M., Donmez, L. and Oehninger, S. (2007) Is Hysteroscopic Correction of an Incomplete Uterine Septum Justified Prior to IVF? Reproductive BioMedicine Online, 14, 335-340.
http://dx.doi.org/10.1016/S1472-6483(10)60876-0
[13] Homer, H.A., Li, T.C. and Cooke, I.D. (2000) The Septate Uterus: A Review of Management and Reproductive Outcome. Fertility and Sterility, 73, 1-14. http://dx.doi.org/10.1016/S0015-0282(99)00480-X
[14] Propst, A.M. and Hill, J.A. (2000) Anatomic Factors Associated with Pregnancy Loss. Seminars in Reproductive Medicine, 18, 341-350. http://dx.doi.org/10.1055/s-2000-13723

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