Cervical Ectopic Pregnancy in a 23 Year Old with Uterus Didelphys

Ng, Patrick; Kann, Kristen S.

doi:10.5811/cpcem.2016.11.33052

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…Patrick et al managed a patient diagnosed with uterine diadelphous with a cervical pregnancy bHcg level of 6045 mIU / ml with vaginal bleeding at an early gestational week by administering methotrexate treatment. In our case, curettage was applied because methotrexate treatment was not appropriate due to the advanced gestational week (21). Another case study was reported by Chandrasekhar et al, two cases of UD, one cervical and the other cornual.…”

Section: Fig 3 the Total Right Hemihysterectomymentioning

confidence: 73%

“…In our case, uterine diadelphous and cervical ectopic pregnancy were observed together as a rare situation. Few cases have been reported on this subject in the literature (21)(22)(23). Patrick et al managed a patient diagnosed with uterine diadelphous with a cervical pregnancy bHcg level of 6045 mIU / ml with vaginal bleeding at an early gestational week by administering methotrexate treatment.…”

Section: Fig 3 the Total Right Hemihysterectomymentioning

confidence: 99%

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Rare uterine didelphis and cervical pregnancy

Katırcı¹,

Yaylaci²,

Ismayilli³

et al. 2021

J Exp Clin Med

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Due to increased vaginal bleeding, a surgical operation was performed on a woman with cervical pregnancy. A diagnosis of uterine didelphis (UD) was made during surgery. The hypogastric arteries on both sides were ligated. After controlling the bleeding, the 3Department of XXX, University of XXX, XXX Training and Research Hospital, City, Country abdomen was closed. Uterine defects are a rare malformation that can cause a variety of obstetric problems in pregnant women, and 4Department of XXX, Faculty of XXX, City, Country they must be closely monitored and treated in terms of cervical pregnancy growth. As the pregnancy week continues, life-threatening bleeding may occur, and the patient may need a hysterectomy to stop the bleeding.

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Section: Fig 3 the Total Right Hemihysterectomymentioning

confidence: 73%

Section: Fig 3 the Total Right Hemihysterectomymentioning

confidence: 99%

Rare uterine didelphis and cervical pregnancy

Katırcı¹,

Yaylaci²,

Ismayilli³

et al. 2021

J Exp Clin Med

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“…The septate uterus is most common at 35% followed by bicornuate at 25%, then arcuate at 20%, then unicornuate at 9.6%, and complete agenesis at 3%. 4 Heinonen PK, evaluated the long-term clinical consequences, and reproductive performances of 49 women with uterus Didelphys that were followed up to 6.3 years. 1 According to the study the recurrent miscarriage rate is 21%, ectopic pregnancy rate is 2%, fetal survival rate is 75%, prematurity is 24%, IUGR 11%, caesarian rate is 84%.…”

Section: Discussionmentioning

confidence: 99%

Uterus didelphys with pregnancy and its different maternal and perinatal outcomes

Katke

Acharya²,

Mourya³

2017

Int J Reprod Contracept Obstet Gynecol

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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. These abnormalities can include failure of development, fusion, canalization, or reabsorption, which normally occurs between 6 and 22 weeks in utero. Most sources estimate an incidence of these abnormalities to be from 0.5 to 5.0% in the general population. It is an observational study of cases of uterine didelphys with pregnancy over a period of 2 years. Uterus didelphys with pregnancy has variable maternal and perinatal outcome. First case presents an uneventful course in pregnancy which was terminated with caesarian section with a healthy baby. Second case presented to us with retained placenta with perforation of left horn which was managed by obstetric hysterectomy. The third case presents a didelphys uterus with a congenitally abnormal fetus with Hydrops fetalis with IUFD at 7th month of gestation terminated by caesarian section due to associated vertical vaginal septum. Pregnancy in a uterus Didelphys deserves early diagnosis of the anomaly, and meticulous care in pregnancy and delivery to avert the associated adverse outcomes.

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“…Reported data regarding the clinical outcomes and implications of women with uterus didelphys are limited. Most available studies are case reports [13][14][15] or small retrospective series that lack case controls for potential confounding factors 11,12,16 , which makes it difficult to determine the relationship between uterus didelphys anomalies and adverse pregnancy outcome. Moreover, there is wide deviation in reported outcomes; for example, the reported miscarriage rate varies between 21.0% and 69.0%, and the preterm birth rate has been estimated to be 16.7% to 53.3% 11,[16][17][18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

Pregnancy outcome after in‐vitro fertilization/intracytoplasmic sperm injection in women with congenital uterus didelphys

Cai

Ouyang

Lin

et al. 2022

Ultrasound in Obstet & Gyne

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Objective To investigate the pregnancy and obstetric outcomes of patients with congenital uterus didelphys who achieved clinical pregnancy after in‐vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI). Methods This was a retrospective matched‐cohort study of 83 infertile patients with uterus didelphys who underwent IVF/ICSI and achieved clinical pregnancy from January 2005 to December 2018 at our center. For each patient in the study group, three control patients with normal uterine morphology who underwent IVF/ICSI in 2018 were selected randomly. Patients in the two groups were matched for number of gestational sacs, maternal age, infertility type, cause of infertility, fertilization method, endometrial thickness 1 day before embryo transfer and number of embryos transferred. The classification of congenital uterine anomalies was based on the American Fertility Society system (1988). The pregnancy and obstetric outcomes of the didelphic and control groups were compared separately for singleton and twin pregnancies, and for all pregnancies combined. Results In singleton pregnancies, women with uterus didelphys had increased risk of preterm birth (odds ratio (OR), 4.68; rate difference (RD), 0.14; P < 0.001), Cesarean section (OR, 2.80; RD, 0.17; P = 0.016) and birth weight < 2500 g (OR, 4.06; RD, 0.10; P = 0.017) compared to women with normal uterine morphology. In twin pregnancies, the presence of uterus didelphys was associated with increased risk of preterm delivery (OR, 4.79; RD, 0.37; P = 0.006), perinatal mortality (OR, 3.16; RD, 0.19; P = 0.043) and birth weight < 2500 g (OR, 9.57; RD, 0.35; P = 0.001). Conclusions The presence of uterus didelphys was associated with significantly increased risk of some adverse pregnancy outcomes compared to pregnancies with normal uterine morphology in women who underwent IVF/ICSI. A twin pregnancy in women with uterus didelphys was associated with worse perinatal outcome. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.

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Cervical Ectopic Pregnancy in a 23 Year Old with Uterus Didelphys

Cited by 3 publications

References 14 publications

Rare uterine didelphis and cervical pregnancy

Rare uterine didelphis and cervical pregnancy

Uterus didelphys with pregnancy and its different maternal and perinatal outcomes

Pregnancy outcome after in‐vitro fertilization/intracytoplasmic sperm injection in women with congenital uterus didelphys

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