A PARTICULAR CASE OF DOUBLE UTERUS
Uterine congenital malformations of the uterus appear due to the fusion and/or resorbtion defects of the Mullerian paramesonephric 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.