Didelphys Uterus: A Case Report and Review of the Literature
Background. Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also known as a “double uterus,” is one of the least common amongst MDAs. This report discusses a case of did...
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Language: | English |
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Wiley
2015-01-01
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Series: | Case Reports in Obstetrics and Gynecology |
Online Access: | http://dx.doi.org/10.1155/2015/865821 |
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author | Shadi Rezai Pameela Bisram Isamarie Lora Alcantara Ruchi Upadhyay Carla Lara Malvina Elmadjian |
author_facet | Shadi Rezai Pameela Bisram Isamarie Lora Alcantara Ruchi Upadhyay Carla Lara Malvina Elmadjian |
author_sort | Shadi Rezai |
collection | DOAJ |
description | Background. Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also known as a “double uterus,” is one of the least common amongst MDAs. This report discusses a case of didelphys uterus that successfully conceived, carried her pregnancy to term, and delivered vaginally without any significant complications. Case. Patient is a 29-year-old G2P0010 from Bangladesh, initially came a year prior in her first pregnancy, with spontaneous abortion (SAB). Pelvic Sonogram at that time showed a diagnosis of bicornuate versus didelphys uterus. There were no renal anomalies on subsequent abdominal CT scan. Patient presented with the second pregnancy and had uncomplicated prenatal care and did not have signs of preterm labor; fetus showed appropriate growth and the pregnancy was carried in the left uterus. Patient presented at 38 4/7 wks with Premature Rupture of Membrane and underwent induction of labor with Cytotec. Antibiotics were started for chorioamnionitis. Patient had a vaginal delivery with left mediolateral episiotomy and complete tear of vaginal septum. Third stage of labor was complicated with retained placenta, which was removed manually in the operating room with total EBL of 600 cc. |
format | Article |
id | doaj-art-c239514e2dcc4f9891b49e97c0247613 |
institution | Kabale University |
issn | 2090-6684 2090-6692 |
language | English |
publishDate | 2015-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Obstetrics and Gynecology |
spelling | doaj-art-c239514e2dcc4f9891b49e97c02476132025-02-03T06:01:15ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/865821865821Didelphys Uterus: A Case Report and Review of the LiteratureShadi Rezai0Pameela Bisram1Isamarie Lora Alcantara2Ruchi Upadhyay3Carla Lara4Malvina Elmadjian5Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USASt. George’s University, School of Medicine, St. George’s, GrenadaDepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USADepartment of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USABackground. Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also known as a “double uterus,” is one of the least common amongst MDAs. This report discusses a case of didelphys uterus that successfully conceived, carried her pregnancy to term, and delivered vaginally without any significant complications. Case. Patient is a 29-year-old G2P0010 from Bangladesh, initially came a year prior in her first pregnancy, with spontaneous abortion (SAB). Pelvic Sonogram at that time showed a diagnosis of bicornuate versus didelphys uterus. There were no renal anomalies on subsequent abdominal CT scan. Patient presented with the second pregnancy and had uncomplicated prenatal care and did not have signs of preterm labor; fetus showed appropriate growth and the pregnancy was carried in the left uterus. Patient presented at 38 4/7 wks with Premature Rupture of Membrane and underwent induction of labor with Cytotec. Antibiotics were started for chorioamnionitis. Patient had a vaginal delivery with left mediolateral episiotomy and complete tear of vaginal septum. Third stage of labor was complicated with retained placenta, which was removed manually in the operating room with total EBL of 600 cc.http://dx.doi.org/10.1155/2015/865821 |
spellingShingle | Shadi Rezai Pameela Bisram Isamarie Lora Alcantara Ruchi Upadhyay Carla Lara Malvina Elmadjian Didelphys Uterus: A Case Report and Review of the Literature Case Reports in Obstetrics and Gynecology |
title | Didelphys Uterus: A Case Report and Review of the Literature |
title_full | Didelphys Uterus: A Case Report and Review of the Literature |
title_fullStr | Didelphys Uterus: A Case Report and Review of the Literature |
title_full_unstemmed | Didelphys Uterus: A Case Report and Review of the Literature |
title_short | Didelphys Uterus: A Case Report and Review of the Literature |
title_sort | didelphys uterus a case report and review of the literature |
url | http://dx.doi.org/10.1155/2015/865821 |
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