Uterine didelphys: diagnosis in late pregnancy

Namkha Dorji, Nidup Gyeltshen
In: Bhutan Health Journal · 2019 · vol. 5(2) , pp. 41–44 · doi:10.47811/bhj.88 · W3114958759
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This paper discusses uterine didelphys, a rare Müllerian duct anomaly that may remain undiagnosed until late pregnancy or delivery and is associated with obstetric complications and endometriosis.

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This case report describes a patient with uterine didelphys, a rare Müllerian duct anomaly that frequently remains undiagnosed until late pregnancy or delivery. The authors highlight that while some individuals present with dyspareunia or dysmenorrhea due to a vaginal septum, delayed diagnosis can lead to obstetric complications such as malpresentation and labor difficulties. Furthermore, the text notes that such anatomical variations are rarely associated with secondary issues like endometriosis, adhesions, and infertility. Relevance to endometriosis: listed as a potential complication of delayed diagnosis in patients with uterine didelphys, though the paper's main focus is on obstetric management of the anomaly.

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Abstract

Introduction: Uterus didelphys is a rare mullerian duct anomaly (MDA) and often remains undiagnosed till pregnancy or delivery. Obstetric complications can arise especially if undiagnosed in labour with malpresentation or thick inelastic vaginal septum. Some presents with dyspareunia or dysmenorrhea in the presence of a varying degree of longitudinal vaginal septum. Rarely delayed diagnosis can lead to complications that include endometriosis, adhesions, infertility, etc.
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Uterine didelphys: diagnosis in late pregnancy DOI: https://doi.org/10.47811/bhj.88Abstract Introduction: Uterus didelphys is a rare mullerian duct anomaly (MDA) and often remains undiagnosed till pregnancy or delivery. Obstetric complications can arise especially if undiagnosed in labour with malpresentation or thick inelastic vaginal septum. Some presents with dyspareunia or dysmenorrhea in the presence of a varying degree of longitudinal vaginal septum. Rarely delayed diagnosis can lead to complications that include endometriosis, adhesions, infertility, etc. Downloads Published Issue Section License Copyright (c) 2019 Namkha Dorji, Nidup Gyeltshen This work is licensed under a Creative Commons Attribution 4.0 International License. BHJ allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions.

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Condition tags

endometriosisdysmenorrheadyspareuniainfertility

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