A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery
Uterine didelphys is a rare congenital anomaly of the female reproductive organs, designated by the presence of the uterus as a pair of organs. This occurs as a result of the failure of the embryonic fusion of Müllerian ducts. Women with this abnormality have a paired uterus with two cervices and us...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-03-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231159505 |
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| author | Amanuel Admasu Yayna Adane Ayza Wokil Wolde Dana Abinet Desalegn Getu Kassaye Amdetsion Yemaneh Amanuel Geta Belachewu Shote Tadesse Gure Adise Tesfaye |
| author_facet | Amanuel Admasu Yayna Adane Ayza Wokil Wolde Dana Abinet Desalegn Getu Kassaye Amdetsion Yemaneh Amanuel Geta Belachewu Shote Tadesse Gure Adise Tesfaye |
| author_sort | Amanuel Admasu Yayna |
| collection | DOAJ |
| description | Uterine didelphys is a rare congenital anomaly of the female reproductive organs, designated by the presence of the uterus as a pair of organs. This occurs as a result of the failure of the embryonic fusion of Müllerian ducts. Women with this abnormality have a paired uterus with two cervices and usually a double vagina. The chance of having a pregnancy in one of the pairs along with prolapse of the other is very low in a didelphic uterus. To the best of the author’s knowledge, only one case of such an event has been reported so far. In this case report, we are reporting on a 28-year-old gravida four para three (all are vaginal deliveries, 2 are alive, healthy, and term deliveries without any compilation; 1 is an early neonatal death delivered at 8 months) woman who presented to our hospital with a complaint of a protruding mass per vagina for 14 days in the presence of pregnancy. After she was evaluated and investigated, she was diagnosed with pelvic organ prolapse and late-preterm pregnancy. The prolapse reduced gradually as the gestational age advanced. Cesarean section was done at the gestational age of 38 weeks plus 2 days for the indication of infected pelvic organ prolapse in labor, with the outcome of a 3000 gram male alive neonate. Intraoperatively, there was uterine didelphys, one uterus holding the pregnancy while the other was prolapsing. |
| first_indexed | 2024-04-10T04:18:39Z |
| format | Article |
| id | doaj.art-bd07d575186d405ca18b2e90a31445c7 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-04-10T04:18:39Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-bd07d575186d405ca18b2e90a31445c72023-03-11T18:04:22ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-03-011110.1177/2050313X231159505A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term deliveryAmanuel Admasu Yayna0Adane Ayza1Wokil Wolde Dana2Abinet Desalegn3Getu Kassaye4Amdetsion Yemaneh5Amanuel Geta6Belachewu Shote7Tadesse Gure8Adise Tesfaye9Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaDepartment of Gynecology and Obstetrics, Haramaya University Hiwot Fana Comprehensive Specialized Hospital, Harer, EthiopiaDepartment of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, EthiopiaUterine didelphys is a rare congenital anomaly of the female reproductive organs, designated by the presence of the uterus as a pair of organs. This occurs as a result of the failure of the embryonic fusion of Müllerian ducts. Women with this abnormality have a paired uterus with two cervices and usually a double vagina. The chance of having a pregnancy in one of the pairs along with prolapse of the other is very low in a didelphic uterus. To the best of the author’s knowledge, only one case of such an event has been reported so far. In this case report, we are reporting on a 28-year-old gravida four para three (all are vaginal deliveries, 2 are alive, healthy, and term deliveries without any compilation; 1 is an early neonatal death delivered at 8 months) woman who presented to our hospital with a complaint of a protruding mass per vagina for 14 days in the presence of pregnancy. After she was evaluated and investigated, she was diagnosed with pelvic organ prolapse and late-preterm pregnancy. The prolapse reduced gradually as the gestational age advanced. Cesarean section was done at the gestational age of 38 weeks plus 2 days for the indication of infected pelvic organ prolapse in labor, with the outcome of a 3000 gram male alive neonate. Intraoperatively, there was uterine didelphys, one uterus holding the pregnancy while the other was prolapsing.https://doi.org/10.1177/2050313X231159505 |
| spellingShingle | Amanuel Admasu Yayna Adane Ayza Wokil Wolde Dana Abinet Desalegn Getu Kassaye Amdetsion Yemaneh Amanuel Geta Belachewu Shote Tadesse Gure Adise Tesfaye A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery SAGE Open Medical Case Reports |
| title | A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery |
| title_full | A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery |
| title_fullStr | A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery |
| title_full_unstemmed | A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery |
| title_short | A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery |
| title_sort | rare case report of uterine didelphys in which one uterus carried a pregnancy while the other prolapsed with a successful pregnancy outcome resulting in an alive term delivery |
| url | https://doi.org/10.1177/2050313X231159505 |
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