通过剖腹产顺利妊娠的双子宫:病例报告

Swati Malsariya, Bihani Sanjyal, K. Bharathi, Suman Jain, B. Pushpalatha
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引用次数: 0

摘要

双子宫(Didelphys uterus)又称 "双子宫",是一种罕见的先天性畸形,其特征是存在两个独立的子宫,每个子宫都有自己的宫颈。这是由于穆勒氏管胚胎融合失败造成的。在其中一个子宫中怀孕而不会在怀孕期间出现任何并发症的几率相对较低。我们报告了一例 24 岁初产妇的双子宫病例。患者在妊娠足月时因阴道漏液到医院急诊科就诊。她在怀孕期间曾多次接受超声波检查,但超声波检查结果均未怀疑子宫有先天性异常。在妊娠 9 个月时,患者因阴道漏液前来就诊,发现她有两个阴道,阴道纵隔较厚,由于阴道分娩存在潜在风险,并怀疑她有两个独立的子宫,因此她接受了选择性剖腹产。在剖腹产过程中,确诊为双子宫,两个子宫的输卵管和卵巢分离;一个是有孕育能力的,另一个是无孕育能力的。这种情况的处理需要多学科团队的精心策划和协调,以确保成功和安全的结果。本病例报告揭示了她的病史、诊断检查、剖腹产和处理结果。
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UNEVENTFUL PREGNANCY IN DIDELPHYS UTERUS DELIVERED THROUGH CAESAREAN SECTION: A CASE REPORT
Didelphys uterus, also known as "double uterus," is a rare congenital anomaly characterised by the presence of two separate uteri, each with its cervix. This happens as a result of the Müllerian duct embryonic fusion failing. The chance of having a pregnancy in one of the uteri without having any complications during pregnancy is relatively low. We are reporting a case of a 24-year-old primigravida woman with a didelphys uterus. The patient presented with the complaint of leaking per vaginum at term gestation in hospital IPD. She had undergone ultrasonography many times during her pregnancy, but no ultrasound finding suspects any congenital anomaly of the uterus. During the ninth month of gestation, when the patient came with leaking per vaginal, two vagina were discovered with a thick longitudinal vaginal septum, so she underwent an elective caesarean section due to the potential risks associated with vaginal delivery and under the suspicion of two separate uteri. During caesarean section, uterus didelphys was confirmed as two uteri with separate fallopian tubes and ovary; one was gravid, and another was non-gravid. The management of this condition requires careful planning and coordination among the multidisciplinary team to ensure a successful and safe outcome. The present case report reveals her history, diagnostic workup, caesarean delivery, and management outcome.
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