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" Antipodal asymmetry " the undiagnosed twin in the opposite uteri / Ivy Grace C. Lim.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Obstetrics and Gynecology, FEU-NRMF, 2020.Description: 23 pages: photos; (in folder) with CD (soft copy)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
Subject(s): LOC classification:
  • OB 2020 0001
Summary: Abstract: Mullerian Duct Anomalies (MDAs) are congenital defects arising from probable teratogenic assault at 6 to 22 weeks age of gestation. Uterine Didelphys (class IIIMDA) arises from complete lack of fusionof Mullerian Ducts, resulting in two entirely separate hemiuteri, cervices and vaginas. The incidence of Mullerian Duct anomaly is less than 5% and the frequency of uterine didelphys is 1 in 1000 to 30,000 women and twin pregnancy in uterus didelphys is only 1 in a million. We are presented with a case of a 31 year old, Gravida 1 Para ), with Uterine Didelphys and Unilateral Renal Agenesis who was diagnosed to have single live intrauterine pregnancy in the left half of uterine didelphys. She was recurrently admitted due to preterm labor until with spontaneous passage of seemingly decidual tissue from the right half of Conception composed of necrotic chorionic villi and decidua, hence confirming a dicavitary twin pregnancy - one delivered to term via normal spontaneous delivery with right mediolateral episiotomy and repair of genital tract laceration and other probably was aborted in the past but was missed until with development of symptoms. Management of pregnancy in uterine didelphys should be wholistic encompassing preconception, prenatal, intrapartum and postpartum period as any complications may arise at any point.
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Item type Current library Call number Status Notes Date due Barcode
Room Use Far Eastern University - Nicanor Reyes Medical Foundation Research OB 2020 0001 (Browse shelf(Opens below)) Available with CD (soft copy) R000970

Includes appendices and bibliographical references.

Abstract: Mullerian Duct Anomalies (MDAs) are congenital defects arising from probable teratogenic assault at 6 to 22 weeks age of gestation. Uterine Didelphys (class IIIMDA) arises from complete lack of fusionof Mullerian Ducts, resulting in two entirely separate hemiuteri, cervices and vaginas. The incidence of Mullerian Duct anomaly is less than 5% and the frequency of uterine didelphys is 1 in 1000 to 30,000 women and twin pregnancy in uterus didelphys is only 1 in a million. We are presented with a case of a 31 year old, Gravida 1 Para ), with Uterine Didelphys and Unilateral Renal Agenesis who was diagnosed to have single live intrauterine pregnancy in the left half of uterine didelphys. She was recurrently admitted due to preterm labor until with spontaneous passage of seemingly decidual tissue from the right half of Conception composed of necrotic chorionic villi and decidua, hence confirming a dicavitary twin pregnancy - one delivered to term via normal spontaneous delivery with right mediolateral episiotomy and repair of genital tract laceration and other probably was aborted in the past but was missed until with development of symptoms. Management of pregnancy in uterine didelphys should be wholistic encompassing preconception, prenatal, intrapartum and postpartum period as any complications may arise at any point.

Research - Department of Obstetrics & Gynecology

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