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Yayna AA, Ayza A, Dana WW, Desalegn A, Kassaye G, Yemaneh A, Geta A, Shote B, Gure T, Tesfaye A. 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 Med Case Rep 2023; 11:2050313X231159505. [PMID: 36923446 PMCID: PMC10009015 DOI: 10.1177/2050313x231159505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Accepted: 02/07/2023] [Indexed: 03/13/2023] Open
Abstract
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.
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Affiliation(s)
- Amanuel Admasu Yayna
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Adane Ayza
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Wokil Wolde Dana
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Abinet Desalegn
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Getu Kassaye
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Amdetsion Yemaneh
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Amanuel Geta
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Belachewu Shote
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
| | - Tadesse Gure
- Department of Gynecology and Obstetrics, Haramaya University Hiwot Fana Comprehensive Specialized Hospital, Harer, Ethiopia
| | - Adise Tesfaye
- Department of Gynecology and Obstetrics, Wolaita Sodo University Comprehensive Specialized Hospital, Sodo, Ethiopia
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Fedele F, Busnelli A, Boito S, Salvatore S, Parazzini F, Candiani M. Rectovesical ligament in didelphyc uterus: how frequent is it and what does it mean? Arch Gynecol Obstet 2022; 308:307-309. [PMID: 35986765 DOI: 10.1007/s00404-022-06728-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Accepted: 07/27/2022] [Indexed: 11/02/2022]
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