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HDlive imaging of vertical, bridging uterine synechia during pregnancy

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Abstract

We present a case of vertical, bridging uterine synechia in the central part of the uterine cavity diagnosed by conventional two-dimensional (2D) sonography and HDlive at 29 weeks and 5 days of gestation. 2D sonography showed a uterine synechia located vertically in the central part of the uterine cavity, dividing the lower uterine cavity into two parts. HDlive clearly revealed triangular, vertical, and bridging uterine synechia with foot protrusion and umbilical cord prolapse in the lower uterine cavity. The low, liquor-filled amniotic cavity was divided by a thin membrane. MRI confirmed the vertical structure dividing the uterus with umbilical cord prolapse. Emergency cesarean section was performed at 37 weeks and 1 day of gestation because of onset of labor, and a female infant weighing 2,380 g was delivered with an umbilical artery pH of 7.25, and Apgar score of 6/9 at 1 and 5 min, respectively. The vertical, bridging synechia in the central part of uterine cavity was confirmed during the operation.

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Acknowledgments

The work reported in this paper was supported by a Grant-in-Aid for Scientific Research on Innovative Areas “Constructive Developmental Science” (No. 24119004), and a Research Grant (No. 25462561) from The Ministry of Education, Culture, Sports, Science and Technology, Japan.

Conflict of interest

The authors have no conflict of interest.

Ethical considerations

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Perinatology and Gynecology, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan

    Masato Mashima, Hirokazu Tanaka, Megumi Ishibashi & Toshiyuki Hata

  2. Department of Obstetrics and Gynecology, Yotsuba Women’s Clinic, 375-1 Michishita, Enza-cho, Takamatsu, Kagawa, 761-8044, Japan

    Tomihiro Katayama

Authors
  1. Masato Mashima
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  2. Hirokazu Tanaka
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  3. Megumi Ishibashi
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  4. Tomihiro Katayama
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  5. Toshiyuki Hata
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Correspondence to Toshiyuki Hata.

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Mashima, M., Tanaka, H., Ishibashi, M. et al. HDlive imaging of vertical, bridging uterine synechia during pregnancy. J Med Ultrasonics 41, 521–524 (2014). https://doi.org/10.1007/s10396-014-0549-5

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  • DOI: https://doi.org/10.1007/s10396-014-0549-5

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