Panchkula
23 October 2018
DIVYA AZAD
In a rare case of patient suffering from uterus didelphys. Despite having suffered three abortions before, and suffering from a rare ailment, the patient managed to have a normal delivery at Paras Bliss Hospital here.
Uterus didelphys (sometimes also uterus didelphis) represents a uterine malformation where the uterus is present as a paired organ when the embryogenetic fusion of the Müllerian ducts fails to occur. As a result, there is a double uterus with two separate cervices, and rarely a double vagina as well.
The 28-year-old resident of Pathankot consulted three years ago i.e. in 2015 with Dr. S K Gambhir, Sr. Consultant – Obstetrics & Gynaecology, at Paras Bliss Hospital, Panchkula. She had the history of two abortions. First abortion was at eight weeks, second was at six weeks and third was at 6 weeks.
When Ultrasonography (USG) was done, report was incomplete abortion because she was already bleeding for the past one week. Dr. Gambhir gave her the medication so that her RPOC (Retained product of conception) got expelled. All investigations were done and found to be normal, no cause of RPL (recurrent pregnancy loss) was found.
Then after six months her USG was done, but in that also no clear diagnosis was made. Then the doctor suggested to get HSG (Hysterosalpingography) so diagnosis of uterus didelphis (double uterus & cervix) was detected. It is the complete duplication of uterine horns as well as duplication of cervix and there is no communication in between them.
After that she was given hormone tablets because of which her uterus size increased and it also helped her to conceive this time which was in December 2017. She was under treatment for whole nine months and continued six months with hormone injection.
The patient delivered a baby girl through C- section last week and was discharged after two days. Dr. Gambhir while giving the details said, “Such cases of Uterus Didelphis are found to be very rare because these conditions are different than the ideal one. In this case, the patient had her baby bump tilt to her left as she was carrying the foetus in her left uterus. The uterine line was also very thin and therefore normal delivery could have been very difficult and hence C-section was suggested.”
