Abstract
Significant clinical implications are associated with uterine anomalies. This subject has stimulated interest, debate and controversy over the past 300 years, especially as to the clinical implications of each anomaly. Depending upon the type of anomaly present, varied clinical presentations of hazardous obstetric and gynaecological complications are encountered. The incidence of uterine anomalies (both major and minor) has been reported from a low of 1 in 4000 deliveries to as high as 12% of different obstetric populations studied. However, as the majority are minor abnormalities, they are usually undetected. The least marked deviation from normal is the uterus arcuatus, which is the most common and the most frequently overlooked. Infertility patients have been found to have a higher than expected incidence (4 %) of significantly abnormal uteri. The usual incidence of anomalies is approximately 0.6%, whenever there is a high index of clinical suspicions1.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Green, L. K. and Harris, R. E. (1976). Uterine anomalies, frequency of diagnosis and associated obstetrics complications. Obstet. Gynecol., 47, 427
Polishuk, W. Z. and Ron, M. A. (1974). Familial bicornuate and double uterus. Am. J. Obstet. Gynecol., 119, 982
Wiersma, A. F., Peterson, L. F., and Justema E. J. (1976). Uterine anomalies associated with unilateral renal agenesis. Obstet. Gynecol., 47, 654
Strassman, E. O. (1966). Fertility and unification of double uterus. Fertil. Steril., 17, 165
Farber, M. and Mitchell, G. W. Jr. (1979). Bicornuate uterus and partial atresia of the fallopian tube. Am. J. Obstet. Gynecol., 134, 881
Jarcho, J. (1946). Malformations of the uterus. Am. J. Surg., 71, 106
Jones, W. S. (1957). Obstetric significance of female genital anomalies. Obstet. Gynecol., 10, 113
Semmens, J. P. (1962). Congenital anomalies of female genital tract: Functional classification based on review of 56 personal cases and 500 reported cases. Obstet. Gynecol., 19, 328
Buttram, V. C. Jr. and Gibbons, W. E. (1979). Müllerian anomalies: a proposed classification (an analysis of 144 cases). Fertil. Steril., 32, 40
Semmens, J. P. (1965). Abdominal contour in the third trimester-an aid to diagnosis of uterine anomalies. Obstet. Gynecol., 25, 779
Young, O. H. and Gibson, M. (1980). Unicornis uterus with a normal external uterine surface. Fertil. Steril., 33, 663
Nickerson, C. W. (1977). Infertility and uterine contour. Am. J. Obstet. Gynecol., 129, 268
Buttram, V. C. Jr., Zanotti, L., Acosta, A. A., Vanderheyden, J. S., Besch, P. K. and Franklin, R. R. (1974). Surgical correction of the septate uterus. Fertil. Steril., 25, 373
Musich, J. R. and Behrman, S. J. (1978). Obstetric outcome before and after metroplasty in women with uterine anomalies. Obstet. Gynecol., 52, 63
Wiebe, D. (1970). Retained placenta of unusual type. Obstet. Gynecol., 35, 153
Cohn, F. L. and Goldenburg, R. L. (1976). Term pregnancy in an unattached rudimentary uterine horn. Obstet. Gynecol., 48, 234
Jarrell, J., Effer, S. B. and Mohide, P. T. (1977). Pregnancy in rudimentary horn with fetal salvage. Am. J. Obstet. Gynecol., 127, 676
Johansen, K. (1969). Pregnancy in a rudimentary horn. Two case reports. Obstet. Gynecol., 34, 805
Szlachter, N. and Weiss, G. (1979). Distal tubal pregnancy in a patient with a bicornuate uterus and segmental absence of the fallopian tube. Fertil. Steril., 32, 602
Pelosi, M. A., Langer, A., Li, T. S., Zanvettor, J. and Cortes, R. (1977). Failed termination of pregnancy due to uterus bicornis unicollis with bilateral pregnancy. Am. J. Obstet. Gynecol., 128, 919
McArdle, C. R. (1978). Failed abortion in a septate uterus. Am. J. Obstet. Gynecol., 131, 910
Loendersloot, E. W. (1977). Twin pregnancy in double uterus. Am. J. Obstet. Gynecol., 127, 682
Rolen, A. C., Choquette, A. J. and Semmens, J. P. (1966). Rudimentary uterine horn. Obstetric and gynecologic implications. Obstet. Gynecol, 27, 806
Neves-E-Castro, M., Saavedra, A. B. E., Vilhena, M. M. and Jones, H. W. Jr. (1976). Lateral communicating double uterus with unilateral vaginal obstruction. Am. J. Obstet. Gynecol., 125, 865
Kaufman, R. H., Binder, G. L., Gray, P. M. and Adam, E. (1977). Upper genital tract changes associated with exposure in utero to diethylstilbestrol. Am. J. Obstet. Gynecol., 128, 51
Haney, A. F., Hammond, C. B., Soules, M. R. and Creasman, W. T. (1979). DES induced upper genital tract abnormalities. Fertil. Steril, 31, 142
Pillsbury, S. G. Jr. (1980). Reproductive significance of changes in the endometrial cavity associated with exposure in utero to diethylstilbestrol. Am. J. Obstet. Gynecol, 137, 178
Behnam, K. (1980). Congenital malformations and carcinoma. Female Patient, 5, 42
Gerbie, M. V. and Weingold, A. B. (1966). Cervical carcinoma in an anomalous cervix. Obstet, Gynecol, 27, 168
Wall, R. L. Jr. (1958). Didelphic uterus with carcinoma in situ both cervices. Am. J. Obstet. Gynecol, 76, 803
Duncan, A. S. and John, A. H. (1962). Endometrial carcinoma occurring in the uterus bicornis. J. Obstet, Gynecol Br. Commonw., 69, 488
Editor information
Rights and permissions
Copyright information
© 1982 MTP Press Limited
About this chapter
Cite this chapter
Harris, R.E. (1982). Uterine anomalies: clinical significance. In: Persaud, T.V.N., Persaud, M.P. (eds) Cardiovascular, Respiratory, Gastrointestinal and Genitourinary Malformations. Advances in the Study of Birth Defects, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7956-0_9
Download citation
DOI: https://doi.org/10.1007/978-94-011-7956-0_9
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-011-7958-4
Online ISBN: 978-94-011-7956-0
eBook Packages: Springer Book Archive