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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Uterine diverticulum
Prabhakar Rajiah1, Katherine L Eastwood, Martin L D Gunn
1From the University of Washington Medical Center, Seattle, Washington.
Background:
Uterine diverticula complicating pregnancy rarely are reported and should be differentiated from sacculation of pregnancy and other pelvic masses.
Case:
A primigravida presented for a routine second-trimester anatomical survey ultrasound examination at 22 weeks of gestation. She initially was thought to have a bicornuate, bicolic uterus with bulging membranes. However, on examination, one normal-appearing cervix was found, and no membranes were visible. Magnetic resonance imaging demonstrated a posterolateral uterine diverticulum. At 31 weeks of gestation, she had premature rupture of membranes and onset of labor. Delivery by cesarean was performed, and the presence of a uterine diverticulum was confirmed.
Conclusion:
Uterine diverticula are rare anomalies in the pregnant uterus and should be considered in the differential diagnosis of a fluid-filled pelvic mass. With close observation, successful pregnancy outcome can be achieved.
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