scholarly journals UTERUS DIDELPHYS IN NULLIPAROUS AND MULTIPAROUS WOMEN – A RARE ENTITY

2021 ◽  
pp. 4-5
Author(s):  
POOJA SINHA ◽  
ANKITA JAGLAN ◽  
NIRAJ CHOUREY ◽  
HIREMATH RAVISHEKAR N ◽  
DEEPTI DAHIYA ◽  
...  
Keyword(s):  
Rare Entity ◽  
Term Pregnancy ◽  
Vaginal Septum ◽  
Uterus Didelphys ◽  
Emergency Cesarean ◽  
First Case ◽  
Multiparous Women ◽  
Mullerian Ducts ◽  
The Right ◽  
Previous Cesarean

Uterus didelphys is a rare congenital uterine abnormality in which the embryogenetic fusion of the Mullerian ducts fails to occur. It will lead to the formation of a double uterus with two separate cervices and most often a double vagina with a longitudinal septum as well. Here, we present two different cases of uterus didelphys with varied presentations. The first case is a nulliparous woman presented with post-coital bleeding. On examination, two cervical openings with a longitudinal complete vaginal septum were found, conservative management was done. Findings of didelphys uterus were confirmed on USG. The patient was counseled and discharged. The second case is a multiparous woman with previous cesarean delivery, rupture of membranes, and meconium in this pregnancy with term pregnancy taken up for emergency cesarean section. Dense adhesions and a mass on the right side of uterus were found intraoperatively, which on further inspection confirmed to be patent right horn of uterus. Diagnosis of uterus didelphys was made after doing per speculum and per vaginal examination post-cesarean.

scholarly journals Spontaneous pregnancy at term with uterus didelphys: a case report

2018 ◽  
Vol 7 (10) ◽  
pp. 4282
Author(s):  
Romuald Randriamahavonjy ◽  
Tanjona A. Ratsiatosika ◽  
Sidy Fleurian ◽  
Housni IA ◽  
Todisoa M. Rakotomboahangy ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Primiparous Woman ◽  
Term Pregnancy ◽  
Vaginal Septum ◽  
Uterus Didelphys ◽  
Spontaneous Pregnancy ◽  
Emergency Cesarean ◽  
Mullerian Ducts ◽  
Uterine Malformations

The uterus didelphys results from the absence of fusion of the bilateral mullerian ducts. It is a rare pathology. This malformation concerns 5% of uterine malformations from mullerian ducts and affects one woman in 1,000-30,000. Obstetrical complications of this malformation are numerous. The chance of reaching term for pregnancies with didelphys uterus is reported as 20%–30%. Authors report a case of spontaneous term pregnancy in a 21-year-old primiparous woman with a didelphic uterus. The patient had an unexplained seizure with fetal bradycardia. An emergency cesarean section was performed and allowed the birth of a hypotropic neonate of 2240g and the discovery of didelphic uterus. Pregnancy developed in the left hemi-uterus. Speculum examination at the end of the procedure showed a longitudinal vaginal septum. There was no associated urinary tract and renal malformation. Scheduled cesarean will be performed from her next pregnancy. The uterus didelphys should be diagnosed early. MRI and 3D echography are necessary for diagnosis. Pregnancy is often complicated, and follow-up needs to be planned. Cesarean section is not systematic.

scholarly journals Uterus didelphys with pregnancy and its different maternal and perinatal outcomes

2017 ◽  
Vol 6 (10) ◽  
pp. 4690 ◽  
Author(s):  
Rajshree Dayanand Katke ◽  
Sivanandini Acharya ◽  
Soni Mourya
Keyword(s):  
Perinatal Outcomes ◽  
Caesarian Section ◽  
Adverse Outcomes ◽  
Congenital Defects ◽  
Vaginal Septum ◽  
Uterus Didelphys ◽  
First Case ◽  
Pregnancy And Delivery ◽  
Mullerian Ducts ◽  
In Pregnancy

Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also known as a “double uterus,” is one of the least common amongst MDAs. These abnormalities can include failure of development, fusion, canalization, or reabsorption, which normally occurs between 6 and 22 weeks in utero. Most sources estimate an incidence of these abnormalities to be from 0.5 to 5.0% in the general population. It is an observational study of cases of uterine didelphys with pregnancy over a period of 2 years. Uterus didelphys with pregnancy has variable maternal and perinatal outcome. First case presents an uneventful course in pregnancy which was terminated with caesarian section with a healthy baby. Second case presented to us with retained placenta with perforation of left horn which was managed by obstetric hysterectomy. The third case presents a didelphys uterus with a congenitally abnormal fetus with Hydrops fetalis with IUFD at 7th month of gestation terminated by caesarian section due to associated vertical vaginal septum. Pregnancy in a uterus Didelphys deserves early diagnosis of the anomaly, and meticulous care in pregnancy and delivery to avert the associated adverse outcomes.

Spontaneous twin gestation in each horn of uterus didelphys complicated with unilateral preterm labor

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Ozgur Ozyuncu ◽  
Mert Turgal ◽  
Aslihan Yazicioglu ◽  
Aykut Ozek
Keyword(s):  
Preterm Labor ◽  
Uterine Cavity ◽  
Rare Entity ◽  
Uterus Didelphys ◽  
Mullerian Ducts ◽  
The Right ◽  
Developmental Malformations

AbstractUterus didelphys is one of the developmental malformations of the mullerian ducts because of non-fusion in the midline resulting in two separate uteri. Simultaneous twin gestation with each fetus in a separate horn of uterus didelphys is an extremely rare entity. Herein, we report a case with spontaneous gestations in each uterine cavity in which the course of pregnancy of the right horn was complicated by preterm labor.

scholarly journals Bicervical Normal Uterus with Normal Vagina and Anteroposterior Disposition of the Double Cervix

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
José Morales-Roselló ◽  
Núria Peralta LLorens
Keyword(s):  
Transvaginal Ultrasound ◽  
Reproductive Disorders ◽  
Caudal Part ◽  
Vaginal Septum ◽  
First Case ◽  
Complex Process ◽  
Uterine Anomaly ◽  
Mullerian Ducts

We report a very uncommon uterine anomaly consisting on a normal uterus, a double cervix with an anteroposterior disposition, and absence of vaginal septum. A 36-years-old woman with one child and absence of past reproductive disorders was examined for a routine checkup. Clinical and transvaginal ultrasound examinations showed a normal uterus with a double cervix disposed in an anteroposterior fashion with the absence of vaginal septum. A review of the theories concerning müllerian fusion is done, and implications of this case in relation with these theories are discussed. This is the first case of a normal uterus with a double cervix situated in an anteroposterior fashion and absence of vaginal septum. This case is in concordance with theories that consider the fusion of the caudal part of Müllerian ducts to be the result of a complex process. It proves that at least in some cases the most caudal part of müllerian ducts is fused in an anteroposterior disposition.

scholarly journals Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys

2020 ◽  
pp. 23-25
Author(s):  
Haley Glatthorn ◽  
Glenmarie Matthews
Keyword(s):  
Ultrasound Guidance ◽  
Intraoperative Complications ◽  
Termination Of Pregnancy ◽  
Fetal Anomaly ◽  
Second Trimester ◽  
Vaginal Septum ◽  
Uterus Didelphys ◽  
Müllerian Duct Anomalies ◽  
Mullerian Duct Anomalies ◽  
The Right

Uterus didelphysis one of the rarest of the Mullerian duct anomalies and can lead to unique obstetric and gynecologic outcomes and considerations. This case describes a patient with known uterus didelphys and intact longitudinal vaginal septum who desired termination of pregnancy at 17 weeks gestation due to fetal anomaly. She underwent dilation and evacuation (D&E) under ultrasound guidance and the pregnancy was removed from the right-sided uterus. Preoperative mifepristone and misoprostol were used for cervical ripening.This case demonstrates that second trimester D&E can be safely performed on patients with uterus didelphys and is aided by the adjunctive use of prostaglandins, mifepristone, and ultrasound guidance to avoid intraoperative complications.

scholarly journals Inflammatory myofibroblastic tumour in the right ventricle of a 66-year-old man

2019 ◽  
Vol 29 (6) ◽  
pp. 967-968
Author(s):  
Diego Monzón Díaz ◽  
Gregorio Cuerpo Caballero ◽  
Angela Irabien Ortiz ◽  
Ángel Gonzalez Pinto
Keyword(s):  
Surgical Technique ◽  
Right Ventricle ◽  
Surgical Resection ◽  
Rare Entity ◽  
Inflammatory Myofibroblastic Tumour ◽  
Review Of The Literature ◽  
First Case ◽  
The Right

Abstract Herein, we present the case of a 66-year-old man with an inflammatory myofibroblastic tumour. An inflammatory myofibroblastic tumour is an extremely rare entity, with only 60 cases having been reported to date in the literature. The origin of this type of tumour is unknown and the treatment of choice is surgical resection. We present the surgical technique of our case and a review of the literature regarding this tumour. This is the first case described in a man above 60 years of age with a tumour located in the right ventricle.

scholarly journals Cecal dermoid masquerading dermoid cyst of ovary: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tushar Subhadarshan Mishra ◽  
Saubhagya Kumar Jena ◽  
Supriya Kumari ◽  
Suvendu Purkait ◽  
Pavithra Ayyanar ◽  
...  
Keyword(s):  
Ct Scan ◽  
Dermoid Cyst ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Reproductive Age ◽  
Rare Entity ◽  
First Case ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
The Right

Abstract Background The ovary is the most common site of occurrence of mature cystic teratomas (dermoid cysts). These are the most common ovarian germ cell tumor in the reproductive age group, accounting for 10–20% of all ovarian neoplasms, with a 1–2% risk of malignancy. A cecal dermoid cyst is a rare entity with only ten cases having been reported so far, eight of which could be retrieved as the rest were reported in different languages. None of these cases were managed laparoscopically. Here we present the first case of cecal dermoid managed laparoscopically. Case presentation A 35-year-old nulliparous Indian Hindu woman presented with complaints of on and off abdominal pain for 10 months. The abdominal examination revealed a well-defined mass of about 10 × 5 cm size, palpable in the right iliac fossa. On sonography, it was suggestive of a right-sided ovarian dermoid cyst. The lesion measured 10 × 7 × 5 cm on a contrast-enhanced computed tomogram (CT) scan. It was well defined and hypodense and located in the right lower abdomen. The ovarian tumor markers were normal. On laparoscopy, the uterus, bilateral tubes, and ovaries were found to be healthy. The cyst was seen arising from the right medial wall of the cecum at the ileocecal junction, which was excised laparoscopically. Histopathological study revealed it to be a mature cystic teratoma. Conclusion Ovarian mature cystic teratoma commonly has an indolent course and can present with palpable abdominal mass, pain, or vomiting due to complications like torsion, hemorrhage, or infection. Alternatively, these cysts can be asymptomatic and incidentally detected. Clinicians should be aware of the variety of presentations of dermoid cysts of the bowel as well as mesentery. The exact location of the teratoma eluded us till the laparoscopy despite adequate imaging including a contrast-enhanced CT scan having been performed preoperatively. We are reporting this as it is a rare entity, and this knowledge will help gynecologists and surgeons make an appropriate surgical decision.

Adult-to-Adult Living-Donor Liver Transplantation

Swiss Surgery ◽  
2003 ◽  
Vol 9 (5) ◽  
pp. 227-236 ◽  
Author(s):  
Majno ◽  
Mentha ◽  
Berney ◽  
Bühler ◽  
Giostra ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Therapeutic Option ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Multidisciplinary Program ◽  
First Case ◽  
Living Donor Transplantation ◽  
The Right

Living donor liver transplantation is a relatively new procedure in which the right side of the liver is harvested in a healthy donor and transplanted into a recipient. After the first case in 1994, over 3000 cases have been done worldwide. This review summarizes the reasons why the procedure is needed, describes its main technical aspects, highlights the boundaries in which it can be done safely, summarizes the current experience worldwide and describes the main points of the program in our unit. We argue that living-donor transplantation is a viable alternative to a long time on the waiting list for several patients, and it can be performed safely and successfully provided that all precautions are undertaken to minimize the risks in the donor and to increase the chances of a good outcome in the recipients. If these prerequisites are met, and within the framework of a structured multidisciplinary program, we believe that living-donor liver transplantation should be funded by health insurances as a recognized therapeutic option.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

A Giant Right Coronary Artery of Diffuse Ectasia Induced by a Right Ventricular Fistula

2015 ◽  
Vol 18 (6) ◽  
pp. 253
Author(s):  
Renyuan Li ◽  
Yiming Ni ◽  
Peng Teng ◽  
Weidong Li
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Coronary Artery Fistula ◽  
Rare Entity ◽  
Fistula Closure ◽  
Unique Case ◽  
Coronary Ectasia ◽  
The Right ◽  
Giant Size

<p>Coronary artery fistula (CAF) is a rare entity. Sometimes it may associate with mild diffuse or segmental coronary ectasia. CAF with giant coronary artery is exceptionally rare. We present a unique case of a 49-year-old female patient with a giant right coronary artery of diffuse ectasia coexisting with a fistula draining into the right ventricle. To our best knowledge, CAF with diffuse coronary ectasia of such giant size has never been reported. The patient was treated successfully by resection of the dilated right coronary artery, fistula closure, and coronary artery bypass grafting.</p>

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