Pregnancy and delivery outcomes in genital malformations


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Abstract

Background. Despite significant advances in the diagnosis and treatment of gynecological diseases, uterine malformations remain one of the urgent problems. The diagnosis of congenital uterine and vaginal malformations presents significant challenges despite a wide range of modern imaging techniques (laparoscopy, hysteroscopy, hysterosalpingography, pelvic ultrasound and magnetic resonance imaging) and leads to errors in recognizing the nature of the defect. In 24-34% of patients with congenital abnormalities of the reproductive tract, the diagnosis is unclear or incorrectly formulated, which further affects the efficiency of treatment and preservation of reproductive function in patients. Case report. The paper describes a clinical case of a 31-year-old patient with uterine malformation (uterus bicornis), which demonstrates a diagnostic algorithm, medical treatment efficiency, and favorable pregnancy and delivery outcomes. Conclusion. A comprehensive examination of women with suspected uterine malformations involves simultaneous hysteroscopy and laparoscopy. However, these are invasive techniques and are associated with the risks of anesthetic management. This clinical example demonstrates the possibility of making this diagnosis using threedimensional transvaginal ultrasonography (3D ultrasound) and metrosalpingography.

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About the authors

Margarita V. Andreeva

Volgograd State Medical University, Ministry of Health of Russia

Email: vaal947@yandex.ru
doctor of medical sciences, professor of the Department of Obstetrics and Gynecology

Natalya A. Linchenko

Volgograd State Medical University, Ministry of Health of Russia

Email: linchenko@inbox.ru
candidate of medical sciences, Associate Professor of the Department of Obstetrics and Gynecology

Elena P. Shevtsova

Volgograd State Medical University, Ministry of Health of Russia

Email: e.p.shevtsova@mail.ru
сandidate of medical sciences, Associate Professor of the Department of Obstetrics and Gynecology

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