Merih BAYRAM, Deniz KARCAALTİNCABA, Aykut OZEK, Pinar CALİS

Successful Term Pregnancy with Placental Implantation on Uterine Septum: Case Report

Uterin septum en sık karşılaşılan ve en kötü gebelik sonuçları ile ilişkili uterin anomalidir. 24 yaşında, nullipar (G:1 P:0) gebe hasta rutin ilk trimester gebelik ultrasonu için kliniğimize başvurdu. İnceleme sırasında, plasentanın büyük kısmı uterin septum üzerinde olduğu belirlendi. Uterin septumda Doppler ultrasonda kan akımı izlenmedi. Bu vaka literaturde çok nadir karşılaşılan başarılı gebelik sonucu ile sonuçlanmış, ilk trimesterde plasental implantasyonun septum üzerinde olduğu tespit edilmiş bir vakadır. Sonuç olarak, inanılanın aksine, komplet uterin septum üzerine implante olmuş plasenta ile gebelik miadına ulaaşıp, başarılı sonuçla sonuçlanabilir

Uterin Septum Üzerine Plasental Implantasyon ile Başarili Miadinda Gebelik: Olgu Sunumu

Uterine septum is the most frequent (35-48%) structural uterine anomaly and associated with the poorest reproductive outcome. A 24 year old, nulliparous woman (G:1 P:0) applied to our clinic for routine first trimester pregnancy ultrasound. During the examination, it was recognized that most of the placenta was implanted on the uterine septum. There was no vascularity on uterine septum in doppler ultrasound. This is extremely rare case in literature showing placental implantation on uterine septum in the first trimester and reached term with successful pregnancy outcome. In conclusion, in contrast what is believed, pregnancy with placental implantation on complete uterine septum may progress successful

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1. Acien P. Incidence of Mullerian defects in fertile and infertile women. Hum Reprod. 1997;12:1372-6.
2. Heinonen PK. Reproductive performance of women with uterine anomalies after abdominal or hysteroscopic metroplasty or no surgical treatment. J Am Assoc Gynecol Laparosc. 1997;4:311-7.
3. Propst AM, Hill JA, 3rd. Anatomic factors associated with recurrent pregnancy loss. Semin Reprod Med. 2000;18:341-50.
4. Venetis CA, Papadopoulos SP, Campo R, Gordts S, Tarlatzis BC, Grimbizis GF. Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies. Reprod Biomed Online. 2014;29:665-83.
5. Uterine septum: a guideline. Fertil Steril. 2016;106:530-40.
6. Heinonen PK. Complete septate uterus with longitudinal vaginal septum. Fertil Steril. 2006;85:700-5.
7. Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7:161-74.
8. Portuondo JA, Camara MM, Echanojauregui AD, Calonge J. Mullerian abnormalities in fertile women and recurrent aborters. J Reprod Med. 1986;31:616-9.
9. Pennisi E. DEVELOPMENTAL BIOLOGY. Using evolution to better identify cell types. Science. 2015;350:618-9.
10. Fedele L, Bianchi S, Marchini M, Franchi D, Tozzi L, Dorta M. Ultrastructural aspects of endometrium in infertile women with septate uterus. Fertil Steril. 1996;65:750-2.
11. Rackow BW, Arici A. Reproductive performance of women with mullerian anomalies. Curr Opin Obstet Gynecol. 2007;19:229-37.
12. Homer HA, Li TC, Cooke ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril. 2000;73:1-14.
13. Fedele L, Dorta M, Brioschi D, Giudici MN, Candiani GB. Pregnancies in septate uteri: outcome in relation to site of uterine implantation as determined by sonography. AJR Am J Roentgenol. 1989;152:781-4.