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]

Our patient presented at the age of 23 which was unusual given that it tends to present shortly after menarche with pelvic pain and/or a mass and rarely, in later years, with primary infertility [ 4, 7,8 ]. [avensonline.org]

So both cases presented in postmenopausal women over 70 years with rather large tumors. [hindawi.com]

Herein, we present the case of a 34-year-old woman with dysgerminoma with a Müllerian anomaly (uterus didelphys). [unboundmedicine.com]

• Turkish

  Language: English Turkish This article has been cited by other articles in PMC. Abstract Didelphic uterus with obstructed hemivagina and ipsilateral renal agenesis is a rare condition. [ncbi.nlm.nih.gov]

• Rectal Pain

  Marked rectal pain and constipation secondary to haematocolpos impingement have also been reported as presenting symptoms ( 7 ). [ncbi.nlm.nih.gov]

  Marked rectal pain and constipation secondary to hematocolpos impingement have also been reported as presenting symptoms (9x9Pieroni, C., Rosenfeld, D.L., and Mokrzycki, M.L. [fertstert.org]

• Recurrent Abdominal Pain

  The success of the procedure was confirmed by the resolution of clinical symptoms (recurrent abdominal pain) and by the visualization of the large communication between the two vaginas at vaginoscopy 6 months after operation. [fertstert.org]

• Fecal Incontinence

  The girl was lost to follow-up for 5 years and brought again with complaints of urinary and fecal incontinence. [jiaps.com]

• Episodic Abdominal Pain

  These anomalies must always be considered while working-up female patients presenting with episodic abdominal pain and abdominopelvic mass. [ncbi.nlm.nih.gov]

• Hydrops Fetalis

  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. [ijrcog.org]

• Low Self-Esteem

  The main findings are primary amenorrhea, dysmenorrhea, pelvic pain, endometriosis, sexual difficulties and low self-esteem. [unboundmedicine.com]

• Postcoital Bleeding

  She had been investigated 2 years prior to conception for heavy postcoital bleeding (Estimated blood loss 250 ml). [avensonline.org]

Routine imaging for infertility workup often detects the anomaly. Uterus didelphys with obstructed hemivagina is an obstructive mullerian anomaly caused by the lateral nonfusion of the mullerian ducts with asymmetrical obstruction. [ncbi.nlm.nih.gov]

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]

Treatments and drugs If you have a double uterus but you don’t have signs or symptoms, treatment is rarely needed. [pharmacypedia.org]

We present a surgical treatment with a result IB1, with systematic pelvic and paraaortic nodal dissection, with poor prognostic factors, she is chemoradiotherapy treatment. [clinicsinsurgery.com]

Treatment varies from a vaginal septum resection, to a metroplasty. [medigraphic.com]

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 38. [springermedizin.de]

This situation is particularly troublesome given that this type of malformation is the least common anomaly of the müllerian ducts but has the best prognosis in terms of alleviation of symptoms and future fertility of the patient (1x1Golan, A., Langer [fertstert.org]

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 both horns of didelphys uterus in a Down's syndrome woman. 61 Fanfani F...Scambia G 16487578 2006 35 Concomitant resection of congenital vaginal septum during the tension-free vaginal tape procedure. 61 Long CY...Tsai EM 16211370 2005 36 [A rare etiology [malacards.org]

References: [1] [2] [3] [4] Anomalies of the vulva and vagina Imperforate hymen Definition : a hymen without an opening Etiology : congenital defect Incidence : 1/2000 females Pathophysiology : : central cells of the Müllerian eminence in the urogenital [amboss.com]

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]

Anomalies of the uterus Anomalies of Müllerian duct fusion Anomalies of Müllerian duct fusion Types of fusion anomalies Relative frequency Pathophysiology Müllerian agenesis (Class I ) Rare Both the Müllerian ducts fail to develop absent or hypoplastic [amboss.com]

Conclusion: The prompt and accurate diagnosis of this condition is essential to prevent complications from acute illness and to preserve future fertility. [mendeley.com]

Conclusion: Early and accurate diagnosis of this syndromeis important so that adequate and prompt surgical therapy (excision of the vaginal septum) can provide relief of pain and prevent further complications. [moh-it.pure.elsevier.com]

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]

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]