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A Case of Rupture of a Pregnant Bicornuate Uterus at Term
신경숙(KS Shin),장애숙(AS Chang),(Marsden DE),(Martin BH) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.2
23세 초산부의 수술중 발견된 쌍각자궁 파열의 예이다. 자궁은 Strassman 방법에 의해 복구되었으나 수술후의 자궁조영술 결과 원래의 쌍각자궁을 그대로 유지하고 있었다. 그러므로 분만시의 수술은 가능한한 간단하게 마치며 임신이 아닌 상태에서 적절한 수술을 요하는 것으로 사료된다. The true incidence of congenital duplication abnormalities of the uterus is not certain because many probably cause no problem and one therefore not detected, but among obstetric patients is estimated to be between 0.5% and 2% of deliveries. Among the abnormalities the most common is uterus bicornis unicollis which was seen in almost half the cases reported by Barbero. Fertility is probably not impaired but the incidence of abortion is increased significantly, especially with the lesser degree of uterine abnormality. apart from abortion the other complications possible incidence incoordinate uterine action, abnormal presentation, premature labour, and uterine rupture. Rupture ofa rudimentary horn is a well recognised event, but rupture of a uterus bicornis unicollis is far less common. The authors were only able to find reference to one such case, described over 75 years ago. this paper reports a case of rupture of a uterus becornis unicollis managed at Il Sin Hospital Pusan. In particualr the problem of the method of repair is discussed in detail.