Yunus KATIRCI, Hüseyin YAYLACI, Aybeniz İSMAYİLLİ, Ayşe ÖZDEMİR

Rare uterine didelphis and cervical pregnancy

Due to increased vaginal bleeding, a surgical operation was performed on a woman with cervical pregnancy. A diagnosis of UD was made during surgery. The hypgastric arteries on both sides were ligated. After controlling the bleeding, the abdomen was closed. Uterine defects are a rare malformation that can cause a variety of obstetric problems in pregnant women, and they must be closely monitored and treated in terms of cervical pregnancy growth. As the pregnancy week continues, life-threatening bleeding may occur, and the patient may need a hysterectomy to stop the bleeding.

Keywords:

ectopic pregnancy, uterus didelphis, cervical pregnancy, vaginal bleeding,

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1. Stassart JP, Nagel TC, Prem KA, Phipps WR. Uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis: the University of Minnesota experience. Fertil Steril. 1992;57:756-61.
2. Fatum M, Rojansky N, Shushan A: Septate uterus with cervikal duplication: rethinking the development of mullerian anomalies. Gynecol Obstet Invest. 55:186-88, 2003.
3. Wai CY, Zekam N, Sanz LE: Septate uterus with double cervix and longitudinal vaginal septum. A case report. J Reprod Med. 46:613-17, 2001.
4. Simon C, Martinez L, Pardo F, Tortajada M, Pellicer A: Mullerian defects in women with normal reproductive outcome. Fertil Steril.56192-93, 1991.
5. Breen JL. A 21 year survey of 654 ectopic pregnancies. Am J ObstetGynecol 2002;106:1004–19.
6. Ushakov FB, Elchalal U, Aceman PJ, Schenker JG. Cervical pregnancy: past and future. Obstet Gynecol Surv 1997;52:45–59.
7. Vela G, Tulandi T. Cervical pregnancy: the importance of early diagnosis and treatment. J Minim Invasive Gynecol 2007;14:481–4
8. Frates MC, Benson CB, Doubilet PM. Cervical ectopic pregnancy: results of conservative treatment. Radiology 1994;19:773–5.
9. Narlavar RS, Chavhan GB, Bhatgadde VL, Shah JR: Twin gestation in one horn of a bicornuate uterus. J Clin Ultrasound. 31:167-69, 2003.
10. Kanakas N, Boos R, Schmidt W: Twin pregnancy in the right horn of a uterus didelphys: a case report. Eur J Obstet Gyenecol Reprod Biol. 32:287-92, 1989.
11. Folch M, Pigem I, Konje JC: Mullerian agenesis: etiology, diagnosis and management. Obstet Gynecol Surv. 55:644-49, 2000.
12. Yitzhak M1, Orvieto R, Nitke S, Neuman-Levin M, Ben-Rafael Z, Schoenfeld A. Cervical pregnancy a conservative stepwise approach. Hum Reprod 1999;14: 847–9.
13. Vela G, Tulandi T. Cervical pregnancy: the importance of early diagnosis and treatment. J Minim Invasive Gynecol 2007;14:481–4
14. Maral İ, Sözen U, Balık E. Servikal Gebeliğin Konservatif Tedavisi (Olgu Sunumu). Turk Klin Jinekol Obst.1993;3:67–9.
15. Seçen İE, Keskin HL, Avşar AF. Servikal ektopik gebelik: Üç olgu sunumu. J Turk Soc Obstet Gynecol 2012;9:229–32
16. Hirakawa M, Tajima T, Yoshimitsu K, Irie H, Ishigami K, Yahata H, et al. Uterine artery embolization along with the administration of methotrexate for cervical ectopic pregnancy: technical and clinical outcomes. AJR Am J Roentgenol 2009;192:1601–7.
17. Nakao Y, Yokoyama M, Iwasaka T. Uterine artery embolization followed by dilation and curettage for cervical pregnancy. Obstet Gynecol. 2008;111(2 Pt 2):505–7.
18. 18. Samal SK, Rathod S. Cervical ectopic pregnancy. J Nat Sci Biol Med. 2015;6:257–60.
19. Alammari R, Thibodeau R, Harmanli O. Vaginal Hysterectomy for Treatment of Cervical Ectopic Pregnancy. Obstet Gynecol. 2017;129:63–5.
20. Papp Z, Tóth-Pál E, Papp C, Sziller I, Silhavy M, Gávai M, et al. Bilateral hypogastric artery ligation for control of pelvic hemorrhage, reduction of blood flow and preservation of reproductive potential. Experience with 117 cases. Orv Hetil 2005;146:1279–85.
21. Ng PC, Kann KS. Cervical Ectopic Pregnancy in a 23 Year Old with Uterus Didelphys. Clin Pract Cases Emerg Med. 2017 Jan 18;1(1):37-39. doi: 10.5811/cpcem.2016.11.33052. PMID: 29849386; PMCID: PMC5965437.
22. Chandrasekhar C. Report of two cases of uterus didelphys and rare ectopic (cornual and cervical) pregnancies. Clin Imaging. 2007 Jan-Feb;31(1):57-61. doi: 10.1016/j.clinimag.2006.09.027. PMID: 17189851.
23. Tuştaş Haberal E, Çekmez Y, Ulu İ, Divlek R, Göçmen A. Placenta percreta with concomitant uterine didelphys at 18 weeks of pregnancy: a case report and review of the literature. J Matern Fetal Neonatal Med. 2016 Nov;29(21):3445-8. doi: 10.3109/14767058.2015.1130819. Epub 2016 Jan 14. PMID: 26653847.

Journal of Experimental and Clinical Medicine-Cover

Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1980
Yayıncı: Ondokuz mayıs Üniversitesi Tıp Fakültesi

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