Flexible hysteroscopic exploration in surgical termination of pregnancy in a patient with uterine abnormality
Tóm tắt
Congenital uterine anomalies may cause various reproductive problems, including difficulty performing vaginal surgical termination of pregnancy (TOP). We report the case of a 35-year-old woman with a uterus bicornis bicollis (a double, partially fused uterus with two cervices and a vaginal septum), who was requesting termination of pregnancy following two failed attempts at vacuum aspiration. Flexible hysteroscopy, in combination with trans-abdominal ultrasound, was used to facilitate the correct passage of the dilators during a successful dilatation and evacuation (D&E) followed by insertion of intra-uterine progestogen-only contraceptive system (‘Mirena’). On review of the literature, we found no similar cases reported.
Tài liệu tham khảo
Marsh F, Duffy S (2004) The technique and overview of flexible hysteroscopy. Obstet Gynecol Clin North Am 31(3):655–668
Jermy K, Oyelese O, Bourne T (1999) Uterine anomalies and failed surgical termination of pregnancy: the role of routine preoperative transvaginal sonography. Ultrasound Obstet Gynecol 14(6):431–433
Fliegner JR (1986) Uncommon problems of the double uterus. Med J Aust 145(10):510–512
Pennes DR, Bowerman RA, Silver TM, Smith SJ (1987) Failed first trimester pregnancy termination: uterine anomaly as etiologic factor. J Clin Ultrasound 15(3):165–170
Acharya G, Morgan H, Paramanantham L, Fernando R (2004) A randomized controlled trial comparing surgical termination of pregnancy with and without continuous ultrasound guidance. Eur J Obstet Gynecol Reprod Biol 114(1):69–74