Lubna Riaz Dar, Drakhshan Nauman, Shaherzad Sohail.
Clinical Presentations of Congenital Uterine Anomalies.
Esculapio J Services Inst Med Sci Jan ;8(1):20-3.

Objective: To observe clinicl presentations of uterine anomalies. Material & Methods: Uterine anomalies were detected during prenatal ultrasonography, detected during LSCS done for various obstetric indications, discovered during EUA, and detected during laparoscopy or laparotomy. The clinical data of these patients was reviewed regarding age, parity, marital status and presenting symptoms. All data was entered in predesigned proforma and analyzed using SPSS version 14. Results: Total 43 cases of uterine anomalies detected. Most common type of anomaly detected was bicornuate uterus followed by uteru didelph s, arcuate uterus , unicornuate uterus with non communicating horn and septate uterus. These anomalies clinically presented with fetal malpresentations, dysmenorrhoe , retained placenta and primary infertility. Diagnosis was confirmed during prenatal USG, examination under anesthesia, during LSCS, during laparoscopy and laparotomy. Conclusion: Women with uterine anomalies complain symptoms such as dysmenorrhoea, pelvic pain, but most are asymptomatic and diagnosed incidentally. They are frequently complicated by obstetrical challenges such as preterm labour ,malpresentation and uterine atony. Thus, when diagnosis of uterine anomaly is made, it is crucial to discuss with patients about their expected prognosis on fertility and possible obstetrical outcomes and complications and to provide appropriate therapy accordingly.

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