000 02324nam a22003017a 4500
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_d12054
001 OB 2020 0001
003 PILC
005 20240720153219.0
008 211108b xxu||||| |||| 00| 0 eng d
040 _beng
_cFEU-NRMF MEDICAL LIBRARY
_erda
041 _aenglish
050 _aOB 2020 0001
245 _a" Antipodal asymmetry "
_bthe undiagnosed twin in the opposite uteri /
_cIvy Grace C. Lim.
260 _aFairview, Quezon City:
_bDepartment of Obstetrics and Gynecology, FEU-NRMF,
_c2020.
300 _a23 pages:
_bphotos;
_c(in folder)
_ewith CD (soft copy).
336 _2rdacontent
_atext
337 _2rdamedia
_aunmediated
338 _2rdacarrier
_avolume
504 _aIncludes appendices and bibliographical references.
520 _aAbstract: 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.
521 _aRESDOG
650 _auterine didelphys
650 _atwin pregnancy
650 _aabortion
650 _anormal spontaneous delivery
700 _aLim, Ivy Grace C.
_eauthor
942 _2lcc
_cRU