Complete septate uterus,obstructed hemivagina,and ipsilateral renal anomaly: pregnancy course complicated by a rare urogenital anomaly |
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Authors: | Valerie I Shavell Samantha E Montgomery Samuel C Johnson Michael P Diamond Jay M Berman |
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Institution: | (1) Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Wayne State University School of Medicine, 3990 John R Street, 7 Brush North, Detroit, MI 48201, USA;(2) Department of Radiology, Wayne State University School of Medicine, Detroit, MI 48201, USA |
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Abstract: | Background Abnormalities of the female reproductive tract are associated with a multitude of intrapartum complications. In the case that
follows, we report the complicated pregnancy course of a woman diagnosed postpartum with the uncommon syndrome of obstructed
hemivagina and ipsilateral renal anomaly (OHVIRA) associated with a complete septate uterus.
Case A 19-year-old nulliparous woman with a history of a right nephrectomy secondary to multicystic dysplastic kidney disease presented
with premature rupture of membranes at 30 weeks’ gestation. After failed induction of labor at 34 weeks’ gestation, a uterine
anomaly was discovered at the time of cesarean section. Magnetic resonance imaging performed postpartum revealed a complete
septate uterus, longitudinal vaginal septum, and obstructed right hemivagina.
Conclusion The OHVIRA syndrome is classically associated with uterus didelphys, not complete septate uterus as in this woman. This case
illustrates the potential for intrapartum complications in women with abnormalities of the urogenital tract. |
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Keywords: | Müllerian anomaly Complete septate uterus Longitudinal vaginal septum Obstructed hemivagina Multicystic kidney disease OHVIRA |
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