A rare case of uterus didelphys presented as secondary abdominal pregnancy
Keywords:
Uterus didelphys, Secondary abdominal pregnancy, Maternal morbidity, Maternal mortalityAbstract
Uterus didelphys is a rare type of uterine malformation with poor obstetric outcome. We report a rare case of ruptured uterus didelphys presenting as secondary abdominal pregnancy which was managed by removal of ruptured uterus along with the omentum to which placenta was attached. There should be a high degree of suspicion for proper management of such cases as these patients carry great morbidity and mortality if left undiagnosed and untreated.
Metrics
References
Bouyer J, Fernandez H, et al. Sites of ectopic pregnancy: a 100 year population –based study of 1800 cases. Hum Reprod 2002;17:3224-3230.
Atrash HK, Friede A, Hogue CJR. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol 1987;69:333-337.
Sotirios H. Saravelos, Karen A. Cocksedge and Tin-Chiu Li. "Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal." Human Reproduction Update 2008 ;14 (5): 415–29.
Nahum GG. Uterine anomalies, induction of labor, & uterine rupture. Obstet Gynaecol Nov 2005:106(5):1150-52.
Woelfer B., Salim R., Banerjee S., Elson J., Regan L., Jutkovic D. Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol, 2001; 98(6): 1099-103.
Dahiya K, Sharma D. Advanced abdominal pregnancy; A diagnostic and management dilemma. J Gynecol Surg 2007;23(2):69-72.
Ozeren S, Caliskan E, Corakci A, Ozkan S, Demirci A. Magnetic resonance imaging and angiography for the prerupture diagnosis of rudimentary uterine horn pregnancy. Acta Radiol 2004;45:878-881.
Cunningham FG, MacDonald PC, et al, editors. Williams obstetrics, 19th ed. New Jersey: Prentice-Hall International Inc; 1993. pp. 543-53.
Desai BR, Patted SS, Pujar YV, et al. Advanced secondary abdominal pregnancy following rupture of rudimentary horn. J Obstet Gynecol India 2005;55:180.
Heinonen P. K. Complete septate uterus with longitudinal vaginal septum. Fertil Steril. 2006; 85(3): 700-5.
