Simultaneous pregnancy in each uterine cavity of a double uterus in a young Nigerian multipara who presented with a retained second twin following an unsupervised preterm labor at home; Case report

Ani, Emmanuel Oluchikwu; Ugwa, Emmanuel Ajuluchukwu; Taiye, Aminu Bashir; Agbor, Iwasam Elemi; Suleiman, Ibrahim Shaaibu

doi:10.1016/j.ijscr.2017.11.068

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…In the absence of contraindication to vaginal delivery, successful vaginal delivery for both twins have been reported 6,11,15,17,20,22 . In rare cases, a cesarean may be required for delivery of one twin, while the other is able to be delivered via the vaginal route, and vice versa 5,13,18,23,26,28 …”

Section: Discussionmentioning

confidence: 99%

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Dicavitary twin pregnancy in patient with bicornuate bicollis uterine anomaly

Karunaratne

Melber

et al. 2023

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

“…6 , 11 , 15 , 17 , 20 , 22 In rare cases, a cesarean may be required for delivery of one twin, while the other is able to be delivered via the vaginal route, and vice versa. 5 , 13 , 18 , 23 , 26 , 28 …”

Section: Discussionmentioning

confidence: 99%

Dicavitary twin pregnancy in patient with bicornuate bicollis uterine anomaly

Karunaratne

Melber

et al. 2023

Clinical Case Reports

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“…However, the second twin was dead on delivery. 8 Due to their uncommon occurrence, there is no consensus on the management principles of pregnancies in patients with congenital uterine anomalies. The obstetric significance of these malformations has a direct relationship to the status of muscle mass of the organ.…”

Section: Discussionmentioning

confidence: 99%

Retained second twin secondary to an undiagnosed bicornuate uterus in a poorly supervised labour: A case report

Enebe

Omeke

Emeka

2020

Proceedings of Singapore Healthcare

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Congenital anomalies of the uterus may result from maldevelopment, abnormal fusion or failure of recanalisation of the paramesonephric (Müllerian) ducts. They are uncommon and are associated with various fertility and pregnancy outcomes. Uterine anomalies have been associated with infertility and pregnancy-related complications. Some cases of successful pregnancies among women with a bicornuate uterus have been reported. However, successful twin pregnancy in a bicornuate uterus is very rare. We report the case of a 24-year-old primigravida who presented with a retained second twin secondary to an undiagnosed bicornuate uterus. An abdominal examination revealed an enlarged abdomen with the uterus tilted to the right and also a palpable firm mass on the left iliac fossa. The retained foetus was presenting cephalic, and the foetal heart rate was 118 bpm. A diagnosis of a retained second twin secondary to a suspected uterine anomaly and suspected foetal distress was made. An emergency caesarean section revealed two horns of the uterus, each having a fallopian tube, an ovary and a cervix. Both cervices opened into one vagina. A 3.0 kg live male baby was successfully delivered through a transverse incision on the lower segment of the right horn of the uterus. The client had an uneventful recovery and was discharged home together with her babies after 4 days. In conclusion, congenital anomalies of the uterus should be considered in cases of a retained second twin. A prompt and accurate diagnosis followed by appropriate management will go a long way in ensuring a good outcome, as was had in this case.

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“…Dikaviter ikiz gebelik, birbirinden bağımsız iki ayrı tekil gebelik olarak da değerlendirilebilir (8). Her iki bebeğin de vajinal yolla, her iki bebeğin sezaryen ile, ilk bebeğin sezaryen ikincisinin vajinal doğum veya tam tersi ilk bebeğin vajinal yol ikinci bebeğin sezaryen ile doğumunun gerçekleştirildiği dikaviter ikiz gebelikler literatürde mevcuttur (2,7,8,10,11). Heinonen PK 21 yıllık bir süreçte tekil gebeliklerin izlendiği 26 olguluk serilerinde bir sezaryen gerekçesi olan makat prezantasyon oranını %43 olarak bildirmiştir (12).…”

Section: Discussionunclassified

Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik

Yılanlıoğlu

Özbay

Arısoy

et al. 2019

Zeynep Kamil Tıp Bülteni

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Uterus didelfis anomalisi olan infertil hastada IVF tedavisi ile elde edilen dikaviter ikiz gebelik olgusunu literatür bilgileri eşliğinde sunmak. Olgu: 29 yaşında primer infertil hasta gebelik elde etme arzusu ile hastanemizin tüp bebek ünitesi'ne başvurduktan sonra daha önce varlığı bildirilmiş olan "uterus didelfis" anomalisi ultrasonografik değerlendirme ve histerosalpingografi ile teyit edildi. Uterin anomali dışında özgeçmişinde bir özellik bulunmamaktaydı. Daha öncesinde erkek faktörü nedeniyle uygulanan iki başarısız in vitro fertilizasyon denemesi olan hastaya yapılan tedavide her bir kaviteye bir tane 5. gün embriyosu transfer edildi ve her iki embriyonun implante olması neticesinde dikaviter ikiz gebelik gelişti. Gebelik elde edildikten sonra takipleri hastanemizin kadın hastalıkları ve doğum kliniği tarafından yapıldı. Şiddetli preeklampsi gelişmesi nedeniyle 35 hafta 4 günlük iken sezaryen-tek uterin insizyon ile ikiz bebekler doğurtuldu. Sonuç: Uterus didelfis anomalisinde dikaviter ikiz gebelik olguları çok nadir olup, başarılı gebelik sonuçları için yakın takip önemlidir. Bu olguların doğumu veya sezeryanı özellikli olup, deneyimli kliniklerde yapılmalıdır.

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Simultaneous pregnancy in each uterine cavity of a double uterus in a young Nigerian multipara who presented with a retained second twin following an unsupervised preterm labor at home; Case report

Cited by 5 publications

References 10 publications

Dicavitary twin pregnancy in patient with bicornuate bicollis uterine anomaly

Dicavitary twin pregnancy in patient with bicornuate bicollis uterine anomaly

Retained second twin secondary to an undiagnosed bicornuate uterus in a poorly supervised labour: A case report

Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik

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