A rare etiology of praevia barrier by the non gravid uterus in a duplex uterus (didelphys): ultrasound findings

The Authors report a rare case of praevia barrier from a duplex uterus (didelphys). A 30 Year old pregnant woman was admitted for ultrasound examination. Her past history included two cesarean sections with a stillborn infant in one case and a live infant with psychomotor retardation in the other ca...

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Bibliographic Details
Published in:Journal de radiologie 2004-05, Vol.85 (5 Pt 1), p.655-657
Main Authors: N'gbesso, R D, Ouedraogo, S, Quenum, G, Ould-Beddi, M, N'goan-Domoua, A M, Koné, R
Format: Article
Language:fre
Subjects:
Adult
Cesarean Section
Eclampsia - etiology
Female
Humans
Obstetric Labor Complications - etiology
Pregnancy
Pregnancy Complications - diagnostic imaging
Pregnancy Complications - etiology
Pregnancy Complications - surgery
Pregnancy Outcome
Pregnancy Trimester, Third
Rare Diseases - diagnostic imaging
Rare Diseases - etiology
Rare Diseases - surgery
Ultrasonography, Prenatal
Uterus - abnormalities
Vagina - abnormalities
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Summary:The Authors report a rare case of praevia barrier from a duplex uterus (didelphys). A 30 Year old pregnant woman was admitted for ultrasound examination. Her past history included two cesarean sections with a stillborn infant in one case and a live infant with psychomotor retardation in the other case. Third trimester ultrasound examination was consistent with a 36-37 weeks gestation. A 9.1 by 5.8 cm retro-cervical praevia mass was also noted deep in the pelvis. The mass was similar in appearance to myometrium. Elective cesarean section performed at 38 weeks of gestation delivered a normal healthy 2950 g male infant and revealed a second non gravid uterus corresponding to the mass seen at ultrasound. Pelvic examination confirmed a diagnosis of uterus didelphys (uterus duplex bicornis bicollis with vaginal septum) separated by a sagittal partition. The post-operative course was uneventful. Praevia barrier by a half uterus in a patient with duplex uterus is a rare condition that can easily be detected by careful ultrasound examination thus preventing complications at delivery.
ISSN:0221-0363