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SEMINAR ON “ABNORMALITY IN
STRUCTURE OF UTERUS”
EMMANUEL MASIH B.SC NURSING 3RD YEAR
COLLEGE OF NURSING DHAMTARI.
INTRODUCTION
A uterine malformation is a type of female genital malformation resulting from an abnormal development of the Müllerian ducts during embryogenesis.
DEFINITION
ACC. TO WIKIPEDIA. ORGThe malformation of the female genital during embryonic stage in utero.
ACC. TO RADIOPEDIA.ORGIT IS CONGENITAL ABNORMALITIES THAT OCCUR WHEN THE MULLERIAN DUCT DO NOT DEVELOP CORRECTLY.
ANATOMY
PHYSIOLOGY PROVIDE SUITABLE ENVIORNMENT FOR
DEVELOPMENT OF EMBRYO. REGULATION OF MENSTURATION CYCLE.
ETIOLOGY
1. GENETIC CAUSE 2. DIETHYLSTILBESTROL TREATMENT3. NO ANY OTHER CAUSES AT THIS TIME
IS PRESENT.
TYPESCLASS – I – HYPOPLASIA/AGENESISCLASS –II – UNICORNUATECLASS – III – DIDELPHUSCLASS – IV – BICORNUATECLASS – V – SEPTATECLASS – VI – ARCUATECLASS – VII – DES RELATED
CLASS –I VAGINAL AGENESIS/HYPOPLASIA
IT IS CHARACTERISD BY AN ABSENCE OR HYPOPLASIA OF THE UTERUS, PROXIMAL VAGINA AND SOMETIMES THE FALLOPIAN TUBE.
CLASS –II UNICORNUATE UTERUS
The unicornuate uterus forms when one Müllerian duct fail to elongate but the another one develops normally
Unicornuate uterus
CLASS – III UTERUS DIDELPHUS
IT IS A RARE CONGENITAL ANOMALY AND IS A CONSEQUENCE OF UNILATERAL OR BILATERAL MULLIERIAN DUCT DUPLICATION.
CLASS –IV BICORNUATE UTERUSWHEN THE MULLIERIAN DUCT FUSE
INCOMPLETELY AT THE LEVEL OF THE FUNDUS THEN BICORNUATE UTERUS IS FORMED.
THE LOWER UTERUS AND CERVIX ARE COMPLETELY FUSED RESULTING IN 2 SEPARATE BUT COMMUNICATING ENNDOMETRIAL CAVITIES WITH A SINGLE CERVIX AND VAGINA.
CLASS –V SEPTATE UTERUS MOST COMMON FORM OF MULLIERIAN
DUCT DEFECT. RESULT FROM INCOMPLETE RSORPTION
OF THE MEDIAL SEPTUM AFTER THE COMPLETE FUSION OF THE MULLERIAN DUCT HAS OCCURED.
CLASS – VI ARCUATE UTERUS
CHARACTERISED BY A SMALL SEPTATE INDENTATION AT THE SUPERIOR ASPECT OF THE UTERINE CAVITY IN THE FUNDUS.
CLASS –VII DES RELATED ANOMALIES
DES is a synthetic estrogen that was prescribed to women for recurrent miscarriage and premature delivery during the year 1940 – early 1970 .
“DES” UTERUS
CLINICAL MANIFESTS NO ANY SYMPTOMS DIFFICULTY IN GETTING PREGNANT PELVIC PAIN DYSMENORRHEA UTERINE RUPTURE DURING PREGNANCY RECURRENT PREGNANCY LOSS CONCURRENT RENAL ABNORMALITIES IMPERFORATE HYMEN
DIAGNOSTIC MEASURES
History taking
Physical examination
X-ray
USG
MRI
HYSTEROSCOPY
HYSTEROSALPINGOGRAPHY
COMPLICATION
I. INFERTILITYII. EARLY PREGNANCY LOSSIII. AVM
MANAGEMENT∞ NO NON-SURGICAL TREATMENT IS PRESENT
ONLY SYMPTOMATIC TREATMENT IS DONE.∞ SURGICAL INTERVENTION IS CONSIDERED WHEN
A SEPTATE UTERUS IS FOUND ∞ BICORNUATE, UNICORNUATE AND DIDELPHIC
UTERI RARELY REQUIRE SURGICAL MANAGEMENT .