" Antipodal asymmetry " the undiagnosed twin in the opposite uteri /
" Antipodal asymmetry " the undiagnosed twin in the opposite uteri /
Ivy Grace C. Lim.
- Fairview, Quezon City: Department of Obstetrics and Gynecology, FEU-NRMF, 2020.
- 23 pages: photos; (in folder) with CD (soft copy).
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
uterine didelphys
twin pregnancy
abortion
normal spontaneous delivery
OB 2020 0001
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
uterine didelphys
twin pregnancy
abortion
normal spontaneous delivery
OB 2020 0001
