Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys

Haley Glatthorn; Glenmarie Matthews

Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys

Haley Glatthorn *

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Glenmarie Matthews

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Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys

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Abstract

Uterus didelphys is one of the rarest of the Mullerian duct anomalies and can lead to unique obstetric and gynecologic outcomes and considerations. This case describes a patient with known uterus didelphys and intact longitudinal vaginal septum who desired termination of pregnancy at 17 weeks gestation due to fetal anomaly. She underwent dilation and evacuation (D&E) under ultrasound guidance and the pregnancy was removed from the right-sided uterus. Preoperative mifepristone and misoprostol were used for cervical ripening. This case demonstrates that second trimester D&E can be safely performed on patients with uterus didelphys and is aided by the adjunctive use of prostaglandins, mifepristone, and ultrasound guidance to avoid intraoperative complications.

References

6 Cites in Article

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Anne Devi Wold,Norma Pham,Aydin Arici (2006). Anatomic Factors in Recurrent Pregnancy Loss.
P Heinonen (1984). Uterus didelphys: a report of 26 cases.
Lisa Goldthwaite,Stephanie Teal (2014). Controversies in Family Planning: Pregnancy Termination in Women with Uterine Anatomic Abnormalities.
Beth Prairie,Michele Lauria,Nathalie Kapp,Todd Mackenzie,Emily Baker,Karen George (2007). Mifepristone versus laminaria: a randomized controlled trial of cervical ripening in midtrimester termination.
Pentti Heinonen (2000). Clinical implications of the didelphic uterus: long-term follow-up of 49 cases.
Yohei Maki,Seishi Furukawa,Hiroshi Sameshima,Tsuyomu Ikenoue (2013). Independent uterine contractions in simultaneous twin pregnancy in each horn of the uterus didelphys.

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Haley Glatthorn, Glenmarie Matthews. 2020. "Second Trimester Dilation & Evacuation in a Patient with Uterus Didelphys". Global Journal of Medical Research - E: Gynecology & Obstetrics GJMR-E Volume 20 (GJMR Volume 20 Issue E5).

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GJMR Volume 20 Issue E5

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Journal Specifications

Crossref Journal DOI 10.17406/gjmr

Print ISSN 0975-5888

e-ISSN 2249-4618

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Classification

GJMR-E Classification NLMC Code: WP 1

Submission ReceivedDecember 8, 2019
Peer Review Double Blind
Handling Editor
Accepted January 4, 2020
Published January 15, 2020

Version of record

v1.2

Issue date

August 28, 2020

Language

English

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