PREGNANCY IN CONGENITAL SEPTATE UTERUS

Mihai Cristian Dumitrașcu; Cătălin-George Nenciu; Adina-Elena Nenciu

doi:10.33695/mid.v1i1.5

Mihai Cristian Dumitrașcu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Bucharest Emergency University Hospital, Bucharest, Romania
Cătălin-George Nenciu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Bucharest University Emergency Hospital, Bucharest, Romania
Adina-Elena Nenciu Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Bucharest University Emergency Hospital, Bucharest, Romania

DOI: https://doi.org/10.33695/mid.v1i1.5

Keywords: Congenital uterine malformations, pregnancy, infertility

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Congenital uterine malformations can be found in low percentage in the general population due to the defect of joining the paramesonephric ducts and often causes infertility [1]. In the case of malformed uterine pregnancy, we encounter an increased risk of spontaneous abortion, premature birth and fetal dystocia [2].
We present the case of a 24-year patient, without a personal history of pathology and primary infertility for two years. The blood tests reveal normal values with hormonal analyzes within normal limits and the clinical examination is in the normal range. Ultrasound revealed partial septate uterus and the diagnosis was confirmed at hysterosalpingography. The exploratory laparoscopy shown permeability for both fallopian tubes. After ovarian stimulation with Clomiphene Citrate two months in a row a pregnancy was obtained. The patient delivered at term, without complication during pregnancy.

References

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Vaz SA, Dotters-Katz SK, Kuller JA. Diagnosis and Management of Congenital Uterine Anomalies in Pregnancy. Obstet Gynecol Surv. 2017 Mar;72(3):194-201.