| Abstrakt: |
Introduction. Congenital uterine abnormalities are the result of fusion and/or resorption defects of the Müllerian ducts, which appear during organogenesis. These malformations are often asymptomatic; therefore, their incidence is difficult to assess. The impact on fertility is variable and the diagnosis can be delayed by not seeing a doctor, presenting in advanced pregnancy or after complications. The most common complications are subfertility, menstrual disorders, premature birth, miscarriage, or dystocic labor, along with secondary complications from associated urinary tract malformations. Materials and methods. We present the case of an 18-year-old patient, gravida 2, para 2, who presented at the hospital in labor, known with scarred uterus after caesarean section (three years ago, in 2019), at a gestational age estimated at 39 weeks, with pelvic presentation, affirmatively without personal medical pathological history. The examination revealed a complete vaginal septum with separate cervices. The patient did not present medical documents from the current or previous pregnancy. Results. For the prophylaxis of uterine rupture, the patient gave birth by caesarean section to a live fetus, male, 3080 g, AI9. A septate uterus was found intraoperatively. Tubal surgical sterilization was performed upon request. The postoperative evolution was favorable. Although the importance of investigating possible associated malformations of the urinary tract was explained to the patient, she did not report to the routine check-up six weeks after giving birth. Conclusions. The presented case had a favorable evolution, despite the lack of monitoring and of information related to the current and previous pregnancy. Unfortunately, the vast majority of cases present with complications and the lack of data related to previous birth and/or associated pathology could be solved by better communication between specialized medical services. The early diagnosis of congenital uterine malformations may decrease the incidence of miscarriages and premature births. Also, knowing that the genital and the urinary system have a common development in the intrauterine life, it is important to investigate a possible association of malformations between the two systems. [ABSTRACT FROM AUTHOR] |
