Abstract
Mullerian duct anomalies are one of the causes of infertility and increase rates of obstetric complications. Uterus didelphys is a heterogeneous congenital anomaly, due to abnormal fusion of Mullerian duct or inadequate absorption of uterin septum. The aim of this study is to present a case of an uterus didelphys that has reached term through a combined retrospective and literature review. A 30- year- old gravida 1, parity 0 patient was diagnosed as uterus didelphys on hysterosalpingography. The patient was given necessary advice on the consequences of pregnancy and was recommended for spontaneous pregnancy. At the 38th week of gestation, a planned cesarean- section was performed as a result of the indications of moderate oligohydramnios, uterine abnormalities and primigravida breech presentation. In uterus didelphys, in case of pregnancy surgical intervention should be avoided unless it is necessary
References
- Stassart JP, Nagel TC, Prem KA, Phipps WR. Uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis: the University of Minnesota experience. Fertil Steril 1992;57:756-61.
- Fatum M, Rojansky N, Shushan A. Septate uterus with cervikal duplication: Rethinking the development of mullerian anomalies. Gynecol Obstet Invest 2003;55:186-88.
- Simon C, Martinez L, Pardo F, Tortajada M, Pellicer A: Mullerian defects in women with normal reproductive outcome. Fertil Steril 1991;56:1192-93.
- Akar ME, Selam B, Yılmaz Z. Tek taraflı renal agenez ve obstrükte hemivajen beraberinde izlenen uterus didelfisin idrar retansiyonuna yol açması. Türk Fertilite Dergisi 2005;13:70-72.
- Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCherney AH. Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography and histerosalpingography. Radiology 1992;183:795-800.
- Narlavar RS, Chavhan GB, Bhatgadde VL, Shah JR. Twin gestation in one horn of a bicornuate uterus. J Clin Ultrasound 2003;31:167-69.
- Wilson JS. A case of double uterus and vagina with unilateral hematocolpos and hematometra. J Obstet Gynecol Br Emp 1925;32:127-28.
- Rozenberg P, Gillet A, Ville Y. Transvaginal sonographic examination of the cervix in asymptomatic pregnant women: review of the literature. Ultrasound Obstet Gynecol 2002;19:302-311.
- Harger JH. Cerclage and cervical insufficiency: an evidence- based analysis. Obstet Gynecol 2002;100:1313-1327.
Abstract
Mülleryan kanal anomalileri infertilite nedenleri arasında yer almakta ve obstetrik komplikasyon oranlarını artırmaktadır. Uterus didelfis, müller kanallarının füzyonundaki anormallik veya septum abzorpsiyonundaki yetersizlik sonucu oluşan konjenital anomalilerin oluşturduğu heterojen bir gruptur. Çalışmamızda; gebeliği terme kadar ulaşmış ve sezaryen ile doğumu gerçekleştirilen uterus didelfis olgusunu literatür eşliğinde sunmayı amaçladık. 30 yaşında gravida 1, paritesi 0 olan hastaya yapılan histerosalpingografi sonrasında uterus didelfis tanısı konuldu. Hastaya gebelik sonuçları hakkında gerekli danışmanlık verilerek; spontan gebe kalması önerildi. 38. gebelik haftasında; orta oligohidroamnios, uterin anomali ve primigravid makat prezentasyonu sebebiyle planlı sezaryen ile doğum gerçekleştirildi. Uterus didelfis olgularında, gebelik durumunda gerekmedikçe cerrahi bir müdahaleden kaçınılmalıdır
References
- Stassart JP, Nagel TC, Prem KA, Phipps WR. Uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis: the University of Minnesota experience. Fertil Steril 1992;57:756-61.
- Fatum M, Rojansky N, Shushan A. Septate uterus with cervikal duplication: Rethinking the development of mullerian anomalies. Gynecol Obstet Invest 2003;55:186-88.
- Simon C, Martinez L, Pardo F, Tortajada M, Pellicer A: Mullerian defects in women with normal reproductive outcome. Fertil Steril 1991;56:1192-93.
- Akar ME, Selam B, Yılmaz Z. Tek taraflı renal agenez ve obstrükte hemivajen beraberinde izlenen uterus didelfisin idrar retansiyonuna yol açması. Türk Fertilite Dergisi 2005;13:70-72.
- Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCherney AH. Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography and histerosalpingography. Radiology 1992;183:795-800.
- Narlavar RS, Chavhan GB, Bhatgadde VL, Shah JR. Twin gestation in one horn of a bicornuate uterus. J Clin Ultrasound 2003;31:167-69.
- Wilson JS. A case of double uterus and vagina with unilateral hematocolpos and hematometra. J Obstet Gynecol Br Emp 1925;32:127-28.
- Rozenberg P, Gillet A, Ville Y. Transvaginal sonographic examination of the cervix in asymptomatic pregnant women: review of the literature. Ultrasound Obstet Gynecol 2002;19:302-311.
- Harger JH. Cerclage and cervical insufficiency: an evidence- based analysis. Obstet Gynecol 2002;100:1313-1327.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 1, 2014 |
| Published in Issue | Year 2014Issue: 4 |