Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys
Keywords:
didelphys, dilation and evacuation, termination, Mullerian anomaly.
Abstract
Uterus didelphys is 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.
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References
Anne Devi Wold, Norma Pham, Aydin Arici (2006) Anatomic Factors in Recurrent Pregnancy Loss. 24(01), 025-032.
P Heinonen (1984) Uterus didelphys: a report of 26 cases. 17(5), 345-350.
Lisa Goldthwaite, Stephanie Teal (2014) Controversies in Family Planning: Pregnancy Termination in Women with Uterine Anatomic Abnormalities. 90(4), 460-463.
Beth Prairie, Michele Lauria, Nathalie Kapp, Todd Mackenzie, Emily Baker, Karen George (2007) Mifepristone versus laminaria: a randomized controlled trial of cervical ripening in midtrimester termination. 76(5), 383-388.
Pentti Heinonen (2000) Clinical implications of the didelphic uterus: long-term follow-up of 49 cases. 91(2), 183-190.
Yohei Maki, Seishi Furukawa, Hiroshi Sameshima, Tsuyomu Ikenoue (2013) Independent uterine contractions in simultaneous twin pregnancy in each horn of the uterus didelphys. 40(3), 836-839.
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2020-08-28
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