Uterus didelphys with pregnancy and its different maternal and perinatal outcomes

Abstract

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.

Pseudo Broad Ligament Fibroid Posing a Clinical Dilemma: A Case Report

“…However, areas of hyaline degeneration were present on histopathological examination. Preoperative stenting of the ureter is one of the ways to prevent injury to the ureter [12]. However, due to the financial constraints of the patient, we were unable to do the same, and other surgical precautions were followed to prevent ureteric injury.…”

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“…Dibandingkan dengan kelainan uterus lainnya, kelainan ini cenderung memiliki prognosis obstetrik terbaik, yaitu 75% persalinannya berakhir dengan bayi lahir hidup. 5 Persalinan SC jarang diindikasikan, kecuali jika ada riwayat persalinan prematur berulang. 1 Uterus Bikornu (Bicornuate Uterus) Malformasi uterus bikornu disebabkan oleh penyatuan duktus Mullerian inkomplit (Gambar 5).…”