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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Main Authors: Shadi Rezai, Pameela Bisram, Isamarie Lora Alcantara, Ruchi Upadhyay, Carla Lara, Malvina Elmadjian
Format: Article
Language:English
Published: Wiley 2015-01-01
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.
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issn 2090-6684
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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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AT ruchiupadhyay didelphysuterusacasereportandreviewoftheliterature
AT carlalara didelphysuterusacasereportandreviewoftheliterature
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