Surgical correction of rare Müllerian anomalies and spontaneous pregnancies: a case report

Ganesh, Ashalatha; Gupta, Nalini; Chakravarty, Baidyanath

doi:10.1016/j.fertnstert.2007.04.003

Cited by 7 publications

(3 citation statements)

References 8 publications

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“…Since then, a series of studies has reported both good anatomic and functional results of vaginal reconstruction with labium minus flaps . However, reports regarding the fertility outcome of such patients are very scarce . More recently, Acién et al reported a successful spontaneous pregnancy with cesarean section at term in a patient with complete cervicovaginal aplasia .…”

Section: Introductionmentioning

confidence: 99%

Successful vaginal delivery at term after vaginal reconstruction with labium minus flaps in a patient with vaginal atresia: A rare case report

Liu

Wang

2017

J of Obstet and Gynaecol

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We report a case of successful vaginal delivery after vaginal reconstruction with labium minus flaps in a 23-year-old patient with congenital vaginal atresia. The patient primarily presented with amenorrhea and cyclic abdominal pain; transabdominal ultrasonography revealed an enlarged uterus due to hematometra and absence of the lower segment of the vagina. Eight years ago, she had undergone an unsuccessful attempt at canalization at a local hospital. Upon referral to our hospital, she underwent vaginal reconstruction with labium minus flaps. Four months after this procedure, she became pregnant and, subsequently, successfully and safely vaginally delivered a healthy female baby weighing 3250 g at 38 weeks' gestation. The delivery did not involve perineal laceration by lateral episiotomy. To the best of our knowledge, this is the first reported case of successful vaginal delivery at term after vaginal reconstruction with labium minus flaps in a patient with vaginal atresia.

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Section: Introductionmentioning

confidence: 99%

Successful vaginal delivery at term after vaginal reconstruction with labium minus flaps in a patient with vaginal atresia: A rare case report

Liu

Wang

2017

J of Obstet and Gynaecol

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“…The incidence of congenital uterine anomalies is estimated to be 0.001–10% in general population [1] , however the true incidence is not know because only those anomalies that result in pregnancy loss or cause symptoms are usually described and reported [2] .…”

Section: Introductionmentioning

confidence: 99%

Intrapartal resection of the double cervix and longitudinal vaginal septum after hysteroscopic resection of the complete uterine septum, resulting in a term vaginal delivery: A case report

Márton

Habek

Prka

et al. 2016

Case Reports in Women's Health

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ObjectiveTo report a rare uterine anomaly of a septate uterus, double cervix and double vagina in patient who conceived spontaneously and delivered vaginaly.DesignCase report.SettingDepartment of Obstetrics and Gynecology, Zagreb University School of Medicine, Clinical Hospital “Sveti Duh”, Zagreb, Croatia.Patient(s)A 34-year-old nulligravida who underwent clinical, radiological, surgical and intrapartal workup.Intervention(s)Clinical examination and intrapartal surgical resection of vaginal septum followed by vaginal delivery.Main Outcome Measure(s)Description and treatment for a rare Müllerian anomaly and a subsequent literature search.Result(s)Successful intrapartal resection of longitudinal vaginal septum and double cervix followed by vaginal delivery without complication.Conclusion(s)Reconstructive surgical procedures may be considered for providing spontaneous pregnancies and intrapartal surgical technique could be taken into consideration in order to prevent unnecessary cesarean sections, upon strict estimation of the obstetrician.

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“…Once a neonate is born with cloacal exstrophy there is no other choice than performing correction operations. In 2007, Ganesh et al (3) reported a spontaneous pregnancy after reconstruction for cloacal exstrophy. Our case is one of the rare cases with spontaneous conception after extensive reconstructive surgery.…”

mentioning

confidence: 99%

Spontaneous pregnancy and birth with corrected cloacal exstrophy

Gezer

Güralp

Yeşilbaş

et al. 2011

Acta Obstet Gynecol Scand

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Surgical correction of rare Müllerian anomalies and spontaneous pregnancies: a case report

Cited by 7 publications

References 8 publications

Successful vaginal delivery at term after vaginal reconstruction with labium minus flaps in a patient with vaginal atresia: A rare case report

Successful vaginal delivery at term after vaginal reconstruction with labium minus flaps in a patient with vaginal atresia: A rare case report

Intrapartal resection of the double cervix and longitudinal vaginal septum after hysteroscopic resection of the complete uterine septum, resulting in a term vaginal delivery: A case report

Spontaneous pregnancy and birth with corrected cloacal exstrophy

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