Viabilidad de los embarazos y partos en pacientes con anomalías müllerianas: reporte de tres casos clínicos en el Hospital San Ignacio
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Resumen
Objetivo: Describir la clasificación de malformaciones müllerianas, a partir de la revisión de las características clínicas y su comportamiento en el embarazo.
Metodología: Se presentan 3 casos de mujeres con embarazos y malformaciones müllerianas atendidas durante sus controles y desenlace final del embarazo en el Hospital San Ignacio. Se realizó búsqueda electrónica en PubMed/Medline para recopilar información tanto en inglés como en español desde 1988 en adelante. Después se eligieron artículos de revisión, reportes de casos y los de investigación en malformaciones müllerianas.
Conclusiones: Las anomalías müllerianas pueden dificultar o imposibilitar el quedar embarazada y dar como resultado múltiples patologías obstétricas que aumentan la morbimortalidad perinatal. Los desenlaces de las pacientes embarazadas de la muestra se acoplan a lo esperado según las estadísticas mundiales.
Keywords
Delivery, pregnancy, uterine malformations, parto, embarazo, malformaciones uterinas,
References
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10. Bombard DS 2nd, Mousa SA. Mayer-Rokitansky-Kuster-Hauser syndrome: complications, diagnosis and possible treatment options: a review. Gynecol Endocrinol. 2014 Sep;30(9):618-23.
11. Álvarez Navarro M, Cabrera Carranco E, Hernández Estrada AI, Aguirre Osete X. Síndrome de Mayer-Rokitansky-Küster-Hauser: reporte de un caso y revisión de la bibliografía relacionada con su tratamiento. Ginecol Obstet Mex. 2012;80(7):473-9.
12. Opplet P, Rennner SP, Kellerman A, et al. Clinical aspects of Mayer-Rokitansky-Kuester-Hauser syndrome: recommendations for clinical diagnosis and staging. Hum Reprod. 2006 Mar;21(3):792-7.
13. Devi Wold AS, Phan M, Arici A. Anatomic factors in recurrent pregnancy loss. Semin Reprod Med. 2006 Feb;24(1):25-32.
14. Ancien P. Incidente of Mülleriane defects in fértil and infértil women. Hum Reprod. 1997;12(7):1372-76.
15. Jones H (Jr). Müllerian anomalies. Hum Reprod. 1998;13(4):789-91.
16. Samuels TA, Awonuga A. Second trimester rudimentary uterine horns pregnancy: rupture after labor induction with misoprostol. Obstet Gynecol. 2005;106(5):1160-2.
17. Nahum G. Uterine anomalies, induction of labor, and uterine rupture. Obstet Gynecol. 2005;106(5):1150-52.
18. Jayasinghe Y. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynecol. 2005;105:1456-67.
19. Orazi C, Lucchetti M, Schingo P, Marchetti P, Ferro F. Herlyn-Werner- Wunderlich syndrome: uterus didelphys, blind hemi-vagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases. Pediatr Radiol. 2007;37:657-65.
20. Tompkins P. Comments on the bicornuate uterus and twinning. Surg Clin North Am. 1962;42:1049-55.
21. Zhang Y, Zhao YY, Qiao J. Obstetric outcome of women with uterine anomalies in China. Chin Med J (Engl). 2010 Feb 20;123(4):418-22.
22. Behr SC, Courtier JL, Qayyum A. Imaging of Müllerian duct anomalies. Radiographics. 2012 Oct;32(6):E233-50.
23. Ravasia DJ, Brain PH, Pollard JK. Incidence of uterine rupture among women with Müllerian duct anomalies who attempt vaginal birth after cesarean delivery. Am J Obstet Gynecol. 1999Oct;181(4):877-81.
24. Castañeda JM, Pérez LE. Factor uterino: infertilidad y endocrinología reproductiva. Bogotá: Imprenta Hospital Militar; 2000.
25. American College of Obstetricians and Gynecologists (ACOG). Management of recurrent early pregnancy loss. Washington (DC): American College of Obstetricians and Gynecologists (ACOG); 2001.
26. 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.
27. Lin PC. Reproductive outcomes in women with uterine anomalies. Review. J Womens Health. 2004 Jan-Feb;13(1):33-9.
28. Tulandi T, Arronet GH, McInnes RA. Arcuate and bicornuate uterine anomalies and infertility. Fertil Steril. 1980;34:362-4.
29. Woelfer B, Salim R, Banerjee S, et al. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol. 2001;98(6):1099-103.
30. Aubriot FX, Chapron C, Dubuisson JB, Hamou JE. Uterus and diethylstilbestrol: which examinations, which antecedents for an active management? Which treatments? Contracept Fertil Sex. 1998 Jul-Aug;26(7-8):598-604.
2. Chandler TM, Machan LS, Cooperberg PL, Harris AC, Chang SD. Mullerian duct anomalies: from diagnosis to intervention. Br J Radiol. 2009 Dec;82(984):1034-42.
3. Guinard E, Subtil D, Deruelle P. Congenital Müllerian anomalies and delivery: analysis of 304 cases between 2000 and 2010 at the University Hospital of Lille. Gynecol Obstet Fertil. 2014 Jul-Aug;42(7-8):471-6.
4. Shuiqing M, Xuming B, Jinghe L. Pregnancy and its outcome in women with malformed uterus. Chin Med Sci J. 2002 Dec;17(4):242-5.
5. Ma S, Bian X, Lang J . Pregnancy and its outcome in women with malformed uterus. Zhonghua Yi Xue Za Zhi. 2001Apr 10;81(7):415-7.
6. Sadler TW, Langman J. Embriología médica de Langman. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.
7. American Fertility Society. The AFS classification of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Müllerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944-55.
8. Valdés Valdés A. Embriología humana. Ecimed; 2010.
9. Goldthwaite LM, Teal SB. Controversies in family planning: pregnancy termination in women with uterine anatomic abnormalities. Contraception. 2014 Oct;90(4):460-3.
10. Bombard DS 2nd, Mousa SA. Mayer-Rokitansky-Kuster-Hauser syndrome: complications, diagnosis and possible treatment options: a review. Gynecol Endocrinol. 2014 Sep;30(9):618-23.
11. Álvarez Navarro M, Cabrera Carranco E, Hernández Estrada AI, Aguirre Osete X. Síndrome de Mayer-Rokitansky-Küster-Hauser: reporte de un caso y revisión de la bibliografía relacionada con su tratamiento. Ginecol Obstet Mex. 2012;80(7):473-9.
12. Opplet P, Rennner SP, Kellerman A, et al. Clinical aspects of Mayer-Rokitansky-Kuester-Hauser syndrome: recommendations for clinical diagnosis and staging. Hum Reprod. 2006 Mar;21(3):792-7.
13. Devi Wold AS, Phan M, Arici A. Anatomic factors in recurrent pregnancy loss. Semin Reprod Med. 2006 Feb;24(1):25-32.
14. Ancien P. Incidente of Mülleriane defects in fértil and infértil women. Hum Reprod. 1997;12(7):1372-76.
15. Jones H (Jr). Müllerian anomalies. Hum Reprod. 1998;13(4):789-91.
16. Samuels TA, Awonuga A. Second trimester rudimentary uterine horns pregnancy: rupture after labor induction with misoprostol. Obstet Gynecol. 2005;106(5):1160-2.
17. Nahum G. Uterine anomalies, induction of labor, and uterine rupture. Obstet Gynecol. 2005;106(5):1150-52.
18. Jayasinghe Y. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynecol. 2005;105:1456-67.
19. Orazi C, Lucchetti M, Schingo P, Marchetti P, Ferro F. Herlyn-Werner- Wunderlich syndrome: uterus didelphys, blind hemi-vagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases. Pediatr Radiol. 2007;37:657-65.
20. Tompkins P. Comments on the bicornuate uterus and twinning. Surg Clin North Am. 1962;42:1049-55.
21. Zhang Y, Zhao YY, Qiao J. Obstetric outcome of women with uterine anomalies in China. Chin Med J (Engl). 2010 Feb 20;123(4):418-22.
22. Behr SC, Courtier JL, Qayyum A. Imaging of Müllerian duct anomalies. Radiographics. 2012 Oct;32(6):E233-50.
23. Ravasia DJ, Brain PH, Pollard JK. Incidence of uterine rupture among women with Müllerian duct anomalies who attempt vaginal birth after cesarean delivery. Am J Obstet Gynecol. 1999Oct;181(4):877-81.
24. Castañeda JM, Pérez LE. Factor uterino: infertilidad y endocrinología reproductiva. Bogotá: Imprenta Hospital Militar; 2000.
25. American College of Obstetricians and Gynecologists (ACOG). Management of recurrent early pregnancy loss. Washington (DC): American College of Obstetricians and Gynecologists (ACOG); 2001.
26. 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.
27. Lin PC. Reproductive outcomes in women with uterine anomalies. Review. J Womens Health. 2004 Jan-Feb;13(1):33-9.
28. Tulandi T, Arronet GH, McInnes RA. Arcuate and bicornuate uterine anomalies and infertility. Fertil Steril. 1980;34:362-4.
29. Woelfer B, Salim R, Banerjee S, et al. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol. 2001;98(6):1099-103.
30. Aubriot FX, Chapron C, Dubuisson JB, Hamou JE. Uterus and diethylstilbestrol: which examinations, which antecedents for an active management? Which treatments? Contracept Fertil Sex. 1998 Jul-Aug;26(7-8):598-604.
Cómo citar
Toro Cubides, A. M. (2016). Viabilidad de los embarazos y partos en pacientes con anomalías müllerianas: reporte de tres casos clínicos en el Hospital San Ignacio. Universitas Medica, 56(3), 356–365. https://doi.org/10.11144/Javeriana.umed56-3.vepp
Número
Sección
Reportes de caso