Aseptic necrosis of the right horn of an abnormally developed uterus after ligation of the ascending branch of the right uterine artery
Background: Malformations of internal genital organs have various clinical manifestations. Anatomical structural abnormalities of the genitals can cause serious complications in obstetric practice.Plotski A.R., Ganchar E.P., Gurin A.L., Kuzmich I.I., Kononov E.V.
Case report: The paper describes a case of necrosis of the right horn of a bicornuate uterus, which results from ligation of the ascending branch of the right uterine artery. It depicts the clinical presentations and presents the data of additional studies. Particular emphasis is placed on the causes of delayed diagnosis of complications. A brief review of the literature on this problem is given.
Conclusion: The cause of uterine necrosis was the ligation of the ascending branch of the right uterine artery, which was the only source of blood supply to the right uterine horn of the abnormally formed uterus. Uterine necrosis can be timely diagnosed, by comparing its clinical presentation with additional diagnostic test data (the absence of the normal uterine architectonics, the presence of gas bubbles in the myometrium, and its avascularization). Congenital malformations of the internal genital organs are accompanied not only by a change in their anatomical shape, but also by their impaired blood vessel formations, which should be taken into account when examining and delivering patients with this pathology.
Keywords
uterine necrosis
pregnancy
congenital malformations of the female internal organs
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Received 19.05.2021
Accepted 26.11.2021
About the Authors
Andrei R. Plotski, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Grodno State Medical University, Grodno, Belarus, +375 29 780 17 99, andrew1972rp@gmail.com, https://orcid.org/0000-0002-9728-442X, 230009 Belarus, Grodno, Gorki str., 80.Elena P. Ganchar, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Grodno State Medical University, Grodno, Belarus, +375 29 160 00 41, lena-ganchar@rambler.ru, 230009 Belarus, Grodno, Gorki str., 80.
Andrei L. Gurin, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Grodno State Medical University, Grodno, Belarus, +375 29 646 71 25, anlunag@rambler.ru, 230009 Belarus, Grodno, Gorki str., 80.
Irina I. Kuzmich, Head of Obstetric Observational Department, Grodno Regional Clinical Perinatal Center, Grodno, Belarus, +375 29 140 37 88, perinatalcenter@mail.grodno.by, 230009 Belarus, Grodno, Gorki str., 77.
Evgeni V. Kononov, assistant of the Pathological Anatomy Department, Grodno State Medical University, Grodno, Belarus, +375 29 111 07 17, patan@grsmu.by, 230009 Belarus, Grodno, Gorki str., 80.
Authors’ contributions: Plotski A.R. - concept, writing, design of the article; editing the material; Ganchar E.P. - concept of the article; material collection and processing; Gurin A.L., Kuzmich I.I., Kononov E.V. - material collection.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
Patient Consent for Publication: The patient provided informed consent for the publication of her data and associated images.
For citation: Plotski A.R., Ganchar E.P., Gurin A.L., Kuzmich I.I., Kononov E.V. Aseptic necrosis of the right horn of an abnormally developed uterus after ligation of the ascending branch of the right uterine artery. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 1:158-162 (in Russian) https://dx.doi.org/10.18565/aig.2022.1.158-162
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