Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus
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 be...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/4579736 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832555911204306944 |
|---|---|
| author | Edgar Gulavi Steve Kyende Mutiso Charles Mariara Muriuki Abraham Mukaindo Mwaniki |
| author_facet | Edgar Gulavi Steve Kyende Mutiso Charles Mariara Muriuki Abraham Mukaindo Mwaniki |
| author_sort | Edgar Gulavi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2dc5b5cec37742f88d18f5748cff0872 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-2dc5b5cec37742f88d18f5748cff08722025-02-03T05:46:45ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/45797364579736Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate UterusEdgar Gulavi0Steve Kyende Mutiso1Charles Mariara Muriuki2Abraham Mukaindo Mwaniki3Obstetrics and Gynecology, Aga Khan University Hospital, Nairobi, KenyaObstetrics and Gynecology, Aga Khan University Hospital, Nairobi, KenyaKijabe Mission Hospital, Kiambu, KenyaAga Khan University Hospital, Nairobi, KenyaIntroduction. 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.http://dx.doi.org/10.1155/2018/4579736 |
| spellingShingle | Edgar Gulavi Steve Kyende Mutiso Charles Mariara Muriuki Abraham Mukaindo Mwaniki Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus Case Reports in Obstetrics and Gynecology |
| title | Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus |
| title_full | Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus |
| title_fullStr | Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus |
| title_full_unstemmed | Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus |
| title_short | Successful Pregnancy Outcome after Open Strassman Metroplasty for Bicornuate Uterus |
| title_sort | successful pregnancy outcome after open strassman metroplasty for bicornuate uterus |
| url | http://dx.doi.org/10.1155/2018/4579736 |
| work_keys_str_mv | AT edgargulavi successfulpregnancyoutcomeafteropenstrassmanmetroplastyforbicornuateuterus AT stevekyendemutiso successfulpregnancyoutcomeafteropenstrassmanmetroplastyforbicornuateuterus AT charlesmariaramuriuki successfulpregnancyoutcomeafteropenstrassmanmetroplastyforbicornuateuterus AT abrahammukaindomwaniki successfulpregnancyoutcomeafteropenstrassmanmetroplastyforbicornuateuterus |