ABSTRACT
OBJECTIVE: Herlyn-Werner-Wünderlich syndrome (HWW) is a rare congenital malformation of the urogenital tract due to a fusion failure in the Müllerian ducts. This anomaly consists of a didelphus uterus with obstructed hemivagina and sometimes associated with ipsilateral renal agenesis. The treatment of choice is surgical, it consists of a simple procedure of resection of the vaginal septum and drainage of the obstructed hemivagina and retained collections. CASE REPORT: We report the case of a pregnancy in a 37-year-old woman with SHWW without resection of the vaginal septum. CONCLUSIONS: The early detection is important due to the possible associated complications. Women with uterine defects are subject to an increased risk of complications in pregnancy and childbirth. Therefore, each case must be treated individually.
Subject(s)
Abnormalities, Multiple/diagnostic imaging , Mullerian Ducts/abnormalities , Pregnancy Outcome , Pregnancy, High-Risk , Urogenital Abnormalities/diagnostic imaging , Adult , Female , Gestational Age , Humans , Magnetic Resonance Imaging/methods , Monitoring, Physiologic/methods , Pregnancy , Rare Diseases , Syndrome , Urogenital Abnormalities/surgeryABSTRACT
El hígado graso agudo del embarazo es una complicación infrecuente, pero potencialmente mortal, que puede ocurrir durante el tercer trimestre de embarazo. Fue descrito por Sheehan en 1940 e inicialmente se pensó que era inevitablemente un trastorno mortal. Sin embargo, el diagnóstico precoz y la finalización inmediata de la gestación han mejorado el pronóstico de esta patología, y hoy en día la mortalidad materna es la excepción y no la regla, pudiendo conseguirse en la mayoría de los casos una completa recuperación de la paciente. Presentamos el caso de una paciente de 28 años, con una gestación gemelar bicorial biamniótica, que durante la semana 38 de gestación desarrolló esta patología de forma aguda (AU)
Acute fatty liver of pregnancy is a rare but life-threatening complication that can occur during the third trimester. This complication was described by Sheehan in 1940 and was initially thought to be fatal in all cases. However, early diagnosis and immediate pregnancy termination have improved the prognosis of this disease. Maternal mortality is now the exception and not the rule, and complete recovery is usually achieved. We report the case of a 28-year-old patient with a diamniotic dichorionic twin gestation who developed acute fatty liver of pregnancy in week 38 (AU)
