Successful pregnancy in a conserved uterus following hemi-hysterectomy in a case of uterus didelphys

Česká verzia

Authors: Markéta Hornová ; Zdeněk Žižka; Jan Přáda; Michael Fanta
Published in the journal: Ceska Gynekol 2024; 89(5): 391-395
Category: Kazuistika
doi: https://doi.org/10.48095/cccg2024391

Summary

We present a rare case report of a patient with a congenital uterine anomaly –⁠ uterus didelphys. Who spontaneously became pregnant and completed the pregnancy successfully after peripartum hysterectomy of one uterus. The reason for the peripartum hysterectomy was a life-threatening hemorrhage with hemoperitoneum after cesarean delivery.

Keywords:

peripartal hysterectomy – pregnancy – uterus didelphys

Zdroje

1. Santana González L, Artibani M, Ashour Ahmed A. Studying Müllerian duct anomalies –⁠ from cataloguing phenotypes to discovering causation. Online. Dis Model Mech 2021; 14 (6): dmm047977. doi: 10.1242/dmm.047977.

2. Yayna AA, Ayza A, Dana WW et al. A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery. SAGE Open Med Case Rep 2023; 11 : 2050313X231159505. doi: 10.1177/2050313X231159505.

3. Jayaprakasan K, Ojha K. Dia gnosis of congenital uterine abnormalities: practical considerations. J Clin Med 2022; 11 (5): 1251. doi: 10.3390/jcm11051251.

4. Grimbizis GF, Gords S, Di Spiezio Sardo A et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod 2013; 28 (8): 2032–2044. doi: 10.1093/humrep/det098.

5. Ćwiertnia A, Borzyszkowska D, Golara A et al. The impact of uterus didelphys on fertility and pregnancy. Int J Environ Res Public Health 2022; 19 (17): 10571. doi: 10.3390/ijerph191710571.

6. Venetis CA, Papadopoulos SP, Campo R et al. Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies. Reprod Biomed Online 2014; 29 (6): 665–683. doi: 10.1016/j.rbmo.2014.09.006.

7. Slavchev S, Kostov S, Yordanov A. Pregnancy and childbirth in uterus didelphys: a report of three cases. Medicina (Kaunas) 2020; 56 (4): 198. doi: 10.3390/medicina56040198.

8. Crowley CM, Botros K, Hegazy IF et al. Uterine didelphys: dia gnosis, management and pregnancy outcome. BMJ Case Rep 2021; 14 (3): e242233. doi: 10.1136/bcr-2021-242233.

9. Imboden S, Müller M, Raio L et al. Clinical significance of 3D ultrasound compared to MRI in uterine malformations. Ultraschall Med 2014; 35 (5): 440–444. doi: 10.1055/s-0033-1335664.

10. Goulios C, McCuaig R, Hobson L et al. Management of a twin pregnancy in a didelphys uterus: one fetus in each uterine cavity. BMJ Case Rep 2020; 13 (8): e235256. doi: 10.1136/bcr-2020-235256.

11. Peixoto Silva A, Souza Neves S, Tannure Saraiva PH et al. Hemihysterectomy in a patient with uterus didelphys, vaginal septum and ipsilateral renal agenesis: a case report and literature review. Int J Gynecol Obstet 2024; 165 (3): 969–974. doi: 10.1002/ijgo.15247.

12. Domingues SJ, Pinto L. A successful pregnancy in a hemihysterectomized patient –⁠ a case report. Case Rep Obstet Gynecol 2022; 2022 : 4627241. doi: 10.1155/2022/4627241.

13. Kai K, Kawano Y, Yano M et al. Two cesarean deliveries after hemi-hysterectomy due to gestational trophoblastic neoplasia. Taiwan J Obstet Gynecol 2018; 57 (2): 315–318. doi: 10.1016/j.tjog.2018.02.024.

14. Dudášová J, Šimjak P, Koucký M et al. Přehledový článek –⁠ současné možnosti predikce předčasného porodu. Ceska Gynekologie 2019; 84 (5): 355–360.

ORCID autorů

M. Hornová 0000-0003-2650-375X

M. Fanta 0000-0002-8759-2533

Doručeno/Submitted: 15. 4. 2024

Přijato/Accepted: 22. 7. 2024

doc. MUDr. Michael Fanta, Ph.D.

Klinika gynekologie, porodnictví a neonatologie

1. LF UK a VFN v Praze

Apolinářská 18

128 51 Praha 2

michael.fanta@vfn.cz