Magnetic resonance evaluation of double uteri
Article Abstract:
The term "double uterus" is used to describe a variety of anatomical abnormalities of the uterus, but more detailed diagnoses are required, since these abnormalities have very different prognoses as far as reproduction is concerned. The uterine cavity can be examined using tests in which dye is injected prior to X-ray, or a magnifying lens is used for visual inspection (hysterosalpingography or hysteroscopy, respectively). An external view of the uterus can be obtained during exploration of the surgically opened abdomen (laparotomy) or during examination with a fiberoptic tube inserted through a small incision (laparoscopy). To evaluate the potential of magnetic resonance imaging (MRI, a noninvasive imaging method for viewing internal organs and structures) to diagnose double uterus, 18 women with that diagnosis on hysterosalpingogram underwent MRI, followed by laparoscopy or laparotomy, plus hysteroscopy. Measurements were made on the MRI films of various anatomical characteristics, and the pelvis was examined for other diseases. Results showed that MRI was able to identify the uterus in all cases. In addition, the method had varying degrees of sensitivity (true positive identifications) and specificity (number of false negatives divided by the sum of true negatives and false positives) for different anatomic configurations, with a sensitivity and specificity of 100 percent in patients for whom the images were technically adequate. A discussion of the technique is provided. Although MRI is useful in diagnosing variants of double uteri, its value beyond diagnosis has not been determined. In addition, it is more costly than ultrasonography, which has extended diagnostic capabilities. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Obstetrics and Gynecology
Subject: Health
ISSN: 0029-7844
Year: 1989
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Reproductive prognosis after abdominal metroplasty in bicornate or septate uterus: a life table analysis
Article Abstract:
Structural malformations of the uterus include a bicornate (two horns or branches of a single or double uterus) or a septate (divided by a partial or complete divider) type. These malformations may or may not cause infertility and miscarriage. For women with uterine malformations who experience infertility and recurrent miscarriage, surgical correction (metroplasty) may be indicated. Reproductive experience of 144 women undergoing metroplasty to repair a bicornate (71 women) or septate (73 women) malformation is reported. The proportion of women who became pregnant within five years of surgery was 91 percent for women with a septate uterus and 93 percent for women with a bicornate uterus; 70 percent of the women with septate uterus and 73 percent of the women with a bicornate uterus gave birth to a child. The chances of attaining pregnancy increased with time. The number of previous miscarriages did not affect the probability of a live birth. In the septate group, the probability of a live birth was 64 percent in the group with one to two previous miscarriages and 75 percent for those with more than two previous miscarriages. In the bicornate group the probability was 66 percent for one or two previous miscarriages and 73 percent for more. The miscarriage rate was similar in both bicornate (24 percent) and septate (20 percent) malformations. There was no difference in the number of premature and low-birth weight births. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: British Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0306-5456
Year: 1990
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Inguinal endometriosis: pathogenetic and clinical implications
Article Abstract:
Endometriosis is the abnormal development of endometrial tissue, which normally lines the uterus, in various sites in the pelvis and in the abdominal wall. The development of endometriosis in the groin area rarely occurs, and only 30 cases have been previously reported. The clinical course of endometriosis in the inguinal area (groin) was assessed in six women with this disorder. In all cases, inguinal endometriosis was discovered during surgery for suspected inguinal hernia, or protrusion of intestinal tissue into the groin area. Inguinal endometriosis commonly occurred at a structure called the extraperitoneal portion of the round ligament, and developed on the right side in six of seven lesions. In addition, endometriosis was also detected within the peritoneum, the membrane lining the inside of the abdomen, in all patients. The primary symptom of inguinal endometriosis was catamenial pain, or pain during menstruation. Inguinal endometriosis should be considered when symptoms of inguinal hernia develop in women. Patients with inguinal endometriosis should also be examined by laparoscopy, the inspection of the abdomen using a tube-like device with an optical system. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Obstetrics and Gynecology
Subject: Health
ISSN: 0029-7844
Year: 1991
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