حاملگی موفق در رحم دی‌دلفیس: گزارش موردی

نوع مقاله : گزارش مورد

نویسندگان

1 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دستیار زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: رحم دی‌دلفیس از جمله موارد نادر ناهنجاری‌های مولرین می‌باشد که در اغلب موارد تا زمان بارداری و زایمان بدون علامت باقی می‌ماند. در بیماران با ناهنجاری‌های مولرین، بارداری و زایمان با عوارض بیشتری نظیر زایمان زودرس همراهی دارد که نیازمند نظارت بیشتر بر این بارداری‌ها می‌باشد. بیشتر موارد بارداری در رحم دی‌دلفیس در رحم سمت چپ گزارش شده است. از روش‌های سونوگرافی و MRI می­توان برای تشخیص آن استفاده کرد.
معرفی بیمار: بیمار، خانمی 21 ساله با سابقه دیسپارونی و یک نوبت سقط خود‌به‌خود و با بارداری کنونی 38 هفته بود که به‌دلیل آبریزش و درد زایمان به زایشگاه مراجعه نموده بود و در معاینه واژینال سپتوم طولی واژن تشخیص داده شد. بیمار به‌دلیل مایع آمنیوتیک مکونیال غلیظ دور از زایمان سزارین شد و نوزاد سالم و ترم متولد شد. رحم دی‌دلفیس و جنین در حفره راست بود.
نتیجه‌گیری: علی‌رغم زیاد بودن عوارض بارداری در حاملگی‌های همراه با ناهنجاری مولرین، گاهی این حاملگی‌ها بدون عارضه تا ترم ادامه می‌یابد.
کلمات کلیدی: بارداری، رحم دی‌دلفیس، ناهنجاری‌های مولرین

کلیدواژه‌ها


عنوان مقاله [English]

Successful pregnancy in Didelphys uterus: a case report

نویسندگان [English]

  • Laya Shirinzadeh 1
  • Maliheh Rakhshanifar 2
1 Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran.
2 Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran.
چکیده [English]

Introduction: Didelphys uterus is one of the rare cases of mullerian anomalies that in most cases, remains asymptomatic until pregnancy and delivery. In women with mullerian anomalies, pregnancy and delivery are associated with more complications such as preterm labor that requires more attention to such pregnancies. Most cases of pregnancies in Didelphys uterus are reported in the left cavity. Ultrasound and MRI can be used to diagnose it.
Case presentation: The patient was a 21 year old female with history of dyspareunia and one spontaneous abortion at 38 weeks of pregnancy who referred to the maternity complaining of amniotic fluid leakage and labor pain. Longitudinal vaginal septum was diagnosed during the vaginal examination. The patient underwent a cesarean section due to thick meconium-stained amniotic fluid far from delivery and a healthy term baby was born. Didelphys uterus was seen and the fetus was in the right cavity.
Conclusion: Despite the high incidence of pregnancy complications in pregnancies with mullerian anomalies, sometimes these pregnancies continue without complications until term.

کلیدواژه‌ها [English]

  • Didelphys uterine
  • Mullerian anomalies
  • pregnancy
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