지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Mullerian development anomalies (MDAs) are most commonly diagnosed in the reproductive period. A bicornuate uterus is the result of a fusion defect of the Mullerian ducts, causing an abnormal fundal outline. Most of the cases are diagnosed early in life and present with obstetrical complications, such as recurrent pregnancy loss, preterm birth, intrauterine growth restriction, placental abruption, and cervical incompetence. Pelvic organ prolapse (POP) in women with MDAs has been reported; however, all reported cases were when MDAs are diagnosed before or simultaneously with the development of POP in premenopausal young women aged < 35. A 52-yearold menopausal woman, who successfully delivered vaginally at term, was presented with protruding mass through vaginal introitus. On POP-Q examination, the cervix was elongated and descended to 1 cm out of the hymen during bearing down; however, the uterine bodies were confined in the pelvic cavity, which is commonly encountered among POP patients with large uterus due to uterine fibroids or adenomyosis. She also diagnosed for complete bicornuate uterus and underwent robotic sacrocolpopexy for advanced stage POP. It is presumed to have been caused by the bicornuate uterus that prevented the total uterine prolapse with the effect of extending both uterine horns bilaterally inside the pelvic cavity and trapping the uterus within the pelvis. Herein, we report a rare case of complete bicornuate uterus with multiple successful vaginal deliveries at term without obstetric complications, which remained undiagnosed until she was managed for the POP in her postmenopausal period.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Grimbizis GF / 2013 / The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies / Hum Reprod 28:2032~2044
Stearns K / 2018 / Bicornuate bicollis uterus with obstruction of the lower uterine segment and cervical prolapse complicating pregnancy / Case Rep Obstet Gynecol 2018:8910976
Strohbehn K / 1997 / Pelvic organ prolapse in young women / Obstet Gynecol 90:33~36
Rajamaheswari N / 2009 / Case of longitudinal vaginal septum with pelvic organ prolapse / Int Urogynecol J Pelvic Floor Dysfunct 20:1509~1510
이사라 / 2016 / Robotic Single-Site® Sacrocolpopexy: First Report and Technique Using the Single-Site® Wristed Needle Driver / Yonsei Medical Journal 57(4):1029~1033
Stearns K / 2018 / Bicornuate bicollis uterus with obstruction of the lower uterine segment and cervical prolapse complicating pregnancy / Case Rep Obstet Gynecol 2018:8910976
Strohbehn K / 1997 / Pelvic organ prolapse in young women / Obstet Gynecol 90:33~36
Rajamaheswari N / 2009 / Case of longitudinal vaginal septum with pelvic organ prolapse / Int Urogynecol J Pelvic Floor Dysfunct 20:1509~1510
이사라 / 2016 / Robotic Single-Site® Sacrocolpopexy: First Report and Technique Using the Single-Site® Wristed Needle Driver / Yonsei Medical Journal 57(4):1029~1033
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