2015, Number 2
An Med Asoc Med Hosp ABC 2015; 60 (2)
Pregnancy in patient with didelphic uterus, bicollis, septated vagina with placement of cervical prophylactic cerclage
Gómez MYO, Chaya HM, Hugues GMG, Torres EJC
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ABSTRACTThe didelphys uterus is an anomaly that occurs due to a defect in the medial fusion of the paramesonephric ducts; pregnancy can happen and develop normally in these patients. The prevalence of these abnormalities is about 5% in the general population, however, it increases to 13-25% in women with recurrent pregnancy loss. With this malformation specifically, the most common complications include recurrent miscarriage because cervical incompetence and increased incidence of pre-term caesarean delivery. Diagnosis is made by transabdominal ultrasound, nevertheless, MRI imaging plays an important role in the preoperative setting of this group of anomalies, since in recent years it has shown which patients will have a greater benefit from surgical treatment. Treatment varies from a vaginal septum resection, to a metroplasty. The purpose of this paper is to report the case of a 25-year-old primigravid patient, with prior diagnosis of uterus didelphys bicollis with septate vagina who comes at 15.5 weeks of gestation, who is admitted to undergo resection of vaginal septum and placement of prophylactic cerclage in «8».