Didelphic uterus in pregnant women
DOI:
https://doi.org/10.35381/s.v.v8i2.4228Keywords:
Uterine cervical diseases, uterine cervical dysplasia, cervix mucus, (Source: DeCS)Abstract
Objective: To analyze the didelphic uterus in pregnant women. Method: Descriptive documentary, 15 articles published in PubMed, Scopus were reviewed. Conclusion: The didelphic uterus is a congenital uterine anomaly that, although relatively rare, presents important clinical challenges for pregnant women due to its high association with obstetric and perinatal complications, such as preterm delivery, malpresentation and higher rates of cesarean section. Early diagnosis and careful pregnancy planning are essential to minimize risks and optimize both maternal and neonatal outcomes.
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Mandelbaum RS, Anderson ZS, Masjedi AD, et al. Obstetric outcomes of women with congenital uterine anomalies in the United States. Am J Obstet Gynecol MFM. 2024;6(8):101396. http://dx.doi.org/10.1016/j.ajogmf.2024.101396
Wang S, Wang K, Hu Q, Liao H, Wang X, Yu H. Perinatal outcomes of women with Müllerian anomalies. Arch Gynecol Obstet. 2023;307(4):1209-1216. http://dx.doi.org/10.1007/s00404-022-06557-6
Moutos DM, Damewood MD, Schlaff WD, Rock JA. A comparison of the reproductive outcome between women with a unicornuate uterus and women with a didelphic uterus. Fertil Steril. 1992;58(1):88-93. http://dx.doi.org/10.1016/s0015-0282(16)55141-3
Xiang H, Han J, Ridley WE, Ridley LJ. Uterus didelphys: Anatomic variant. J Med Imaging Radiat Oncol. 2018;62(Suppl 1):115. http://dx.doi.org/10.1111/1754-9485.58_12784
White M, Herrell H. Vaginal Hysterectomy of the Didelphic Uterus. Cureus. 2024;16(7):e64767. http://dx.doi.org/10.7759/cureus.64767
Arvizo C, Jernigan AM, Leonelli JE, DeBernardo RL. Total Laparoscopic Hysterectomy: Didelphic Uterus. J Minim Invasive Gynecol. 2015;22(6S):S143. http://dx.doi.org/10.1016/j.jmig.2015.08.496
Benchekroun A, Belahnech Z, Faik M, et al. Utérus didelphe, hémivagin borgne, agénésie rénale avec diverticule urétéral, homolatéral droit à abouchement ectopique vulvaire et hypospadias féminin [Didelphic uterus, blind hemi-vagina, renal agenesia with right, homolateral ureteral diverticulum with ectopic opening into the vulva and female hypospadias]. Prog Urol. 1991;1(4):600-605.
Altchek A, Brodman M, Schlosshauer P, Deligdisch L. Laparoscopic morcellation of didelphic uterus with cervical and renal aplasia. JSLS. 2009;13(4):620-624. http://dx.doi.org/10.4293/108680809X12589999538237
Heinonen PK. Clinical implications of the didelphic uterus: long-term follow-up of 49 cases. Eur J Obstet Gynecol Reprod Biol. 2000;91(2):183-190. http://dx.doi.org/10.1016/s0301-2115(99)00259-6
Tsai CH, Chen CP, Chang MD, Chang SJ, Chien SC. Hematometrocolpos secondary to didelphic uterus and unilateral imperforated double vagina as an unusual cause of acute abdomen. Taiwan J Obstet Gynecol. 2007;46(4):448-452. http://dx.doi.org/10.1016/s1028-4559(08)90023-1
Zurawin RK, Dietrich JE, Heard MJ, Edwards CL. Didelphic uterus and obstructed hemivagina with renal agenesis: case report and review of the literature. J Pediatr Adolesc Gynecol. 2004;17(2):137-141. http://dx.doi.org/10.1016/j.jpag.2004.01.016
Qian L, Ding J, Shi L, Yu Q, Zhu J, Huang A. Analysis of hemi-uterus pregnancy outcomes in uterine malformations: a retrospective observational study. BMC Pregnancy Childbirth. 2023;23(1):836. http://dx.doi.org/10.1186/s12884-023-06136-w
Al Kadri H, Al-Hunain S, Al Rubaish S, Alamir A, Alfakeeh K. Didelphic uterus and obstructed hemivagina resulting in obstructed hydronephrosis of transplanted kidney. J Pediatr Surg. 2009;44(1):e13-e15. http://dx.doi.org/10.1016/j.jpedsurg.2008.09.028
de Martins CP, Araujo JO. Utero didelfo; a propósito de um caso de rotura uterina, no 8.0 mês de gestação [Didelphic uterus; a case of uterine rupture in the eighth month of pregnancy]. An Bras Ginecol. 1954;37(5):257-268.
Donnez O, Jadoul P, Squifflet J, Donnez J. Didelphic uterus and obstructed hemivagina: recurrent hematometra in spite of appropriate classic surgical treatment. Gynecol Obstet Invest. 2007;63(2):98-101. http://dx.doi.org/10.1159/000096015
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