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Uterus Didelphus

Didelphys Uterus


Presentation

  • Abstract Women with uterine malformations frequently present with reproductive impairment. This case addresses the opposite problem, a woman with uterus didelphus who conceived with ease.[ncbi.nlm.nih.gov]
  • Presentation of case A 38-year-old, gravid 9 para 7 abortion 1, pregnant woman applied to the hospital with breech presentation after unsuccessful home birth attempt.[degruyter.com]
  • So both cases presented in postmenopausal women over 70 years with rather large tumors.[hindawi.com]
  • V Complete or partial septate uterus A complete or partial midline septum is present within a single uterus. VI Arcuate uterus A small septate indentation is present at the fundus.[mcgill.ca]
  • 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.[ijrcog.org]
Gangrene
  • However, torsion of the pregnant half of the uterus bringing about such severe circulatory changes that gangrene of the affected part ensues, such an effect as the changes occurring in any pedunculated tumor with twisted pedicle may produce, is extremely[jamanetwork.com]
Hematochezia
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
Purpura
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized[nejm.org]
Encephalopathy
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized[nejm.org]

Treatment

  • Due to a paucity of information on cervical ectopic pregnancies, the most effective treatment has not been clearly defined. Generally, there are two mainstays of treatment of ectopic pregnancies; surgical and medical.[westjem.com]
  • The authors are well-known gynecologists actively involved in the diagnosis and treatment of difficult diseases.[books.google.it]
  • Treatments and drugs If you have a double uterus but you don’t have signs or symptoms, treatment is rarely needed.[pharmacypedia.org]
  • The parents are not willing for any procedure for treatment of UI.[jiaps.com]

Prognosis

  • Treatment and prognosis Complications infertility unilateral hydrocolpos / hematocolpos (if a vaginal septum is present) endometriosis Müllerian duct anomaly classification Herlyn-Werner-Wunderlich syndrome[radiopaedia.org]
  • Batt RE, Mitwally MF (2003) Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy. J Pediatr Adolesc Gynecol 16:337–347 PubMed CrossRef Google Scholar 38.[link.springer.com]
  • Batt RE, Mitwally MF (2003) Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy. J Pediatr Adolesc Gynecol 16:337–347 PubMed CrossRef 38.[springermedizin.de]
  • Uterus didelphys with an imperforate hemivagina is the least common abnormality of the Mullerian ducts, but has the best prognosis in terms of alleviation of symptoms and future fertility of these patients.[omicsonline.org]

Etiology

  • Etiology The uterus is formed during embryogenesis by the fusion of the two mullerian ducts .[wikidoc.org]
  • Etiology The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (also called Müllerian ducts).[ipfs.io]
  • The etiology of uterine didelphys is unknown. It is an embryological abnormality resulting from the failure of fusion of the Mullerian ducts, causing full uterine development to erroneously occur bilaterally. They are usually asymptomatic.[omicsonline.org]
  • In addition, their embryogenesis and etiology are summarized. The diagnostic work-up of women with female genital malformations is reviewed in an evidence-based fashion and taking into account the availability of new non-invasive diagnostic methods.[books.google.es]

Epidemiology

  • Cesarean section was performed in 82% of patients reported by Heinonen. [1] Uterus didelphys, in certain studies, has also been found associated with higher rate of infertility, miscarriage, intrauterine growth retardation, and postpartum bleed. [5] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Prevention

  • She got prescribed enoxaparin 20 mg per day for 6 weeks to prevent thromboembolism. Figure 1: Uterus before detorsion. Figure 2: Uterus after detorsion. 3.[hindawi.com]
  • PREVENTION & TREATMENT: In cases of uterus didelphys where there is hemi-vaginal obstruction, surgical correction of the septate vagina is indicated.[pathologylearningcentre.uct.ac.za]
  • Ideally, diagnosis should be made before pregnancy and labor to prevent adverse outcomes. Case report: Miss OE was a 32-year-old Gravida2 Para0 1 social mother.[diversityhealthcare.imedpub.com]
  • Cervical cerclage may be performed in some cases to prevent the cervix from dilating prematurely and to increase the fetal survival rate.[babymed.com]
  • Batt RE, Mitwally MF (2003) Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy. J Pediatr Adolesc Gynecol 16:337–347 PubMed CrossRef 38.[springermedizin.de]

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