UTERINE DIDELPHYS WITH CERVICAL INCOMPETENCE
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2013, Vol 2, Issue 2
Abstract
Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ.There is presence of double uterine bodies with two separate cervices, and often a double or septate vagina as well.We report a case of single pregnancy in the right sided uterine body of a didelphic uterus with cervical incompetence.Case report:A 24 year G3A 2 with 14 weeks pregnancy came for routine antenatal check-up. On examination she had uterine didelphys with 2 cervices & complete longitudinal vaginal septum. Ultrasonography showed didelphys uterus with pregnancy in right hemiuterus and cervical incompetence. Cervical encirclage was done (Mc donalds). The patient had an uneventful antenatal period except for a persistent breech presentation. She was taken up for elective LSCS on at 39 weeks. An inverted T incision was given to deliver a 3Kg healthy male baby by breech extraction. Postoperative period remained an uneventful. Discussion: Mullerian anomaly rate is reported between 0.1-1%in general population with significantly higher rates associated with infertility and reproductive wastage.
Authors and Affiliations
Aher Gautam S| Professor Resident, Dept of OBGY, Padmashree Dr. Vithalrao Vikhe Patil Medical College & Hospital, Near Govt. Milk Dairy, Vilad Ghat, Ahmednagar, Maharashtra Corresponding author email: drgsaher@gmail.com, Gavali Urmila G| Assistant Professor Resident, Dept of OBGY, Padmashree Dr. Vithalrao Vikhe Patil Medical College & Hospital, Near Govt. Milk Dairy, Vilad Ghat, Ahmednagar, Maharashtra, Kulkarni Meghana| Resident, Dept of OBGY, Padmashree Dr. Vithalrao Vikhe Patil Medical College & Hospital, Near Govt. Milk Dairy, Vilad Ghat, Ahmednagar, Maharashtra
Keywords
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