Sekiz Haftalık Missed Gebeliği Olan Hastada Uterus Didelfis Varlığı: Bir Olgu Sunumu

Yıl 2018, Cilt: 5 Sayı: 2, 19 - 21, 01.08.2018

Buğra ŞAHİN Gizem CURA Fatih ÇELİK Banuhan ŞAHİN

Öz

Mülleryan kanal anomalileri infertilite ve kötü obstetrik öykü nedenleri arasında yer almakta ve obstetrik komplikasyon oranlarını artırmaktadır. Uterin anomalilerin insidansı %0.1-3.8 olarak bildirilmekle birlikte, bu anomaliler arasında uterus didelfis sıklığı %5 olarak tahmin edilmektedir. Sekiz haftalık missed gebeliği olan hastamıza dilatasyon ve küretaj yapılırken uterin kavite içerisindeki fetal materyale ulaşılamaması sebebi ile aynı seansda histereskopi de uygulandı. Histereskopide uterin kavitede tek horn saptanması üzerine vajen ve serviks daha dikkatli incelendi. Sonuçta hastanın bir vajinal septumu ve çift serviksi olduğu böylece uterin didelfise sahip olduğu saptandı. Biz burada gelişimsel uterus anomalilerinin hastalarda görülen değişik bulgularını literatür eşliğinde tartışacağız.

Anahtar Kelimeler

Histereskopi, Missed, Uterus Didelfis

The Presence of Uterus Didelphis in the Patient Who Has Eight Weeks Missed Abortus: A Case Report

Öz

Mullerian duct anomalies are one of the causes of infertility and poor obstetric history and increase rates of obstetric complications. The incidence of uterine abnormalities is reported as 0.1-3.8%, as well as the incidence of uterus didelphis is estimated as 5% between these abnormalities. When dilation and curettage was performed to our patient who had eight weeks missed abortus, hysteroscopy was applied too in the same seance because of inability to reach the fetal material in the uterine cavity during the procedure. When a single horn was detected in the uterine cavity by hysteroscopy, the vagina and cervix were examined more carefully. Finally, it is determined that the patient had a vaginal septum and double cervix therefore; she had a uterine didelphis. Herein we will discuss the different symptoms presented with uterine congenital abnormalities in patients with literature.

Anahtar Kelimeler

Hysteroscopy, Missed, Uterus Didelphis

Kaynakça

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