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Abstract

Uterus Didelphys with Pregnancy and Recurrent Pregnancy Loss

Didelphy uterus is a very rare Mullerian duct anomaly in comparison to other
anomalies and it is an embryological abnormality resulting from complete failure of
fusion of the 8mm and Mullerian ducts. Recurrent pregnancy loss was significantly
increased in women with uterine anomalies and affecting 2%-5% of couple. Many
women have more than one possible etiology causes that could contribute to
their pregnancy loss. This report discusses a case of 23 yrs old of didelphys uterus
with recurrent pregnancy loss (spontaneous recurrent abortion of 1st trimester
pregnancy) married for 2 yrs presented to our MCH center for ANC follow up. An
obstetric ultrasound was done on the same day and pregnancy was not detected,
but two separate uterine horn and separate cervix seen. Right and left horn well
developed and sized 7.1 ×3.2 and 7.1 × 3.8 respectively. Right endometrial strip
left side 7mm. A week later she came to repeat an obstetric ultrasound and a
single viable of gestation of 5 weeks and 3 days detected at right side of uterine
horn. Three week later she came with complaint of vaginal bleeding; an obstetric
ultrasound report indicate intact intrauterine gestational suck. On September
9, 2020 she was presented with the same complaint of vaginal bleeding and
diagnosed as complete abortion.


Author(s):

Yadeta B, Bekele E, Kumera K and Digafe T



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