A PARTICULAR CASE OF DOUBLE UTERUS

Cristina Moraru1, C. M. Pirciu1, O. Munteanu 1,2, Monica Mihaela Cîrstoiu 1,2

1The University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
2Clinic of Obstetrics and Gynecology, The University Emergency Hospital of Bucharest, Romania


Corresponding author: Cornel Marius Pirciu
Phone no. 0040763154232
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Uterine congenital malformations of the uterus appear due to the fusion and/or resorbtion defects of the Mullerianparamesonephric ducts, throughout the organogenesis. One of the relative frequent malformations is the double uterus, in which there are two uterine cavities and two cervices which enter the vagina (with or without a longitudinal median septum). The overall frequency of uterine malformations is difficult to appreciate because of the asymptomatic evolution in most cases. In 25% of the cases, congenital malformations of the uterus are accompanied by abnormalities of the excretory system. We present the case of a 27-year-old patient taken out to 7 weeks of amenorrhea. Transvaginal ultrasound confirmed the diagnosis of double uterus with gestational bag in the right uterine cavity. The renal ultrasound performed confirmed the caliceal malformation. Labor triggers in week 35, complicated with acute fetal distress, thus an emergency caesarean section was decided. A segmental-arched hysterotomy is performed along with a breech-presentation delivery; the fetus masculine with G=2600g, L=48cm, APGAR 6. The evolution of the patient and of the fetus was favorable, they were discharged after 14 days postpartum. This case required a complex approach, the evaluation protocol of the patient being an individualized one, in order to minimize the risks.

Keywords: uterine congenital malformations, infertility and double uterus

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