Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2014 , Vol 5, Issue 4
Uterus Didelphys With Term Pregnancy
Orkun Çetin1, Fatma Ferda Verit1, Ali Galip Zebitay1, İpek Dokurel Çetin2, Şebnem Kuter Yılancıoğlu3, Seda Keskin1, Oğuz Yücel1
1Süleymaniye Doğumevi Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye
2Cerrahpaşa Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul, Türkiye
3Acıbadem Üniversitesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul, Türkiye
Mullerian duct anomalies are one of the causes of infertility and increase rates of obstetric complications. Uterus didelphys is a heterogeneous congenital anomaly, due to abnormal fusion of Mullerian duct or inadequate absorption of uterin septum. The aim of this study is to present a case of an uterus didelphys that has reached term through a combined retrospective and literature review. A 30- year- old gravida 1, parity 0 patient was diagnosed as uterus didelphys on hysterosalpingography. The patient was given necessary advice on the consequences of pregnancy and was recommended for spontaneous pregnancy. At the 38th week of gestation, a planned cesarean- section was performed as a result of the indications of moderate oligohydramnios, uterine abnormalities and primigravida breech presentation. In uterus didelphys, in case of pregnancy surgical intervention should be avoided unless it is necessary. Keywords : Term pregnancy, Mullerian duct anomaly, Uterus didelphys