Olgu Sunumu
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Dicavitary Twin Pregnancy in Didelphys Uterus

Yıl 2019, , 230 - 232, 15.12.2019
https://doi.org/10.16948/zktipb.615521

Öz

Objective:
The aim of this study is to present
a case of a dicavitary twin pregnancy delivered at
the 36th week of pregnancy by cesarean section in a woman with didelphys uterus
where the pregnancy was achieved with in vitro fertilization technique, in the
light of the literature.
Case: A 29-year-old primary infertile patient admitted to our
hospital's IVF unit with the desire to become pregnant, diagnosed with uterus
didelphys anomaly.
There was no problem in
her medical
history other than this uterine anomaly. She had two
unsuccesful in vitro fertilization attempts previously performed due to a male
factor. Dicavitary twin pregnancy was obtained with the aid of in vitro
fertilization and embryo transfer to both uteruses. Pregnancy follow-up
was performed by the gynecology and obstetrics clinic of our hospital. Twins
were delivered by cesarean section-single uterine incision at 35 weeks and 4
days as necessitated by severe preeclampsia.
Conclusion:
Dicavitary
twin pregnancy cases are very rare in uterine didelphys anomaly and close
follow-up is important for successful pregnancy outcomes. The birth or the
cesarean section of this condition are specified cases and should be done in
experienced clinics.



Kaynakça

  • Rezai S, Bisram P, Lora Alcantara I, Upadhyay R, Lara C, Elmadjian M. Didelphys Uterus: A Case Report and Review of the Literature. Case Rep Obstet Gynecol. 2015;2015:865821.
  • Al Yaqoubi HN, Fatema N. Successful Vaginal Delivery of Naturally Conceived Dicavitary Twin in Didelphys Uterus: A Rare Reported Case. Case Rep Obstet Gynecol. 2017;2017:7279548.
  • Bhagavath B, Ellie G, Griffiths KM, Winter T, Alur-Gupta S, Richardson C, Lindheim SR. Uterine Malformations: An Update of Diagnosis, Management, and Outcomes. Obstet Gynecol Surv. 2017;72:377-392.
  • Khander A, Stern E, Gerber RS, Fox NS. The association between obstetrical history and preterm birth in women with uterine anomalies. J Matern Fetal Neonatal Med. 2018;31:2550-2554.
  • Ng KS, Ng BK, Lim PS, Shafiee MN, Abdul Karim AK, Omar MH. Use of hydroxyprogesterone caproate to prevent preterm labour in uterine didelphys: a case report. Horm Mol Biol Clin Investig. 2016;27:89-91.
  • Brown O, Mahedran D, Lieberman B. A twin pregnancy in a uterus didelphys. J Obstet Gynaecol. 1999;19:82-3.
  • Maki Y, Furukawa S, Sameshima H, Ikenoue T. Independent uterine contractions in simultaneous twin pregnancy in each horn of the uterus didelphys. J Obstet Gynaecol Res. 2014;40:836-9.
  • Nohara M, Nakayama M, Masamoto H, Nakazato K, Sakumoto K, Kanazawa K. Twin pregnancy in each half of a uterus didelphys with a delivery interval of 66 days. BJOG. 2003;110:331-2.
  • Tyagi A, Minocha B, Prateek S. Delayed delivery of second twin in uterus didelphys. Int J Gynaecol Obstet. 2001;73:259-60.
  • Ani EO, Ugwa EA, Taiye AB, Agbor IE, Suleiman IS. Simultaneous pregnancy in each uterine cavity of a double uterus in a young Nigerian multipara who presented with a retained second twin following an unsupervised preterm labor at home; Case report. Int J Surg Case Rep. 2018;42:224-226.
  • Kekkonen R, Nuutila M, Laatikainen T. Twin pregnancy with a fetus in each half of a uterus didelphys. Acta Obstet Gynecol Scand. 1991;70:373-4.
  • Heinonen PK. Uterus didelphys: a report of 26 cases. Eur J Obstet Gynecol Reprod Biol. 1984;17:345-50.
  • Skentou C, Souka AP, To MS, Liao AW, Nicolaides KH. Prediction of preterm delivery in twins by cervical assessment at 23 weeks. Ultrasound Obstet Gynecol. 2001;17:7-10.
  • Cahen-Peretz A, Sheiner E, Friger M, Walfisch A. The association between Müllerian anomalies and perinatal outcome. J Matern Fetal Neonatal Med. 2019;32:51-57.

Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik

Yıl 2019, , 230 - 232, 15.12.2019
https://doi.org/10.16948/zktipb.615521

Öz

Amaç: Uterus didelfis anomalisi olan
infertil hastada IVF tedavisi ile elde edilen dikaviter ikiz gebelik olgusunu
literatür bilgileri eşliğinde sunmak.

Olgu: 29 yaşında primer infertil hasta
gebelik elde etme arzusu ile hastanemizin tüp bebek ünitesi’ne başvurduktan
sonra daha önce varlığı bildirilmiş olan “uterus didelfis” anomalisi ultrasonografik
değerlendirme ve histerosalpingografi ile teyit edildi. Uterin anomali dışında özgeçmişinde
bir özellik bulunmamaktaydı. Daha öncesinde erkek faktörü nedeniyle uygulanan iki
başarısız in vitro fertilizasyon denemesi olan hastaya yapılan tedavide her bir
kaviteye bir tane 5. gün embriyosu transfer edildi ve her iki embriyonun implante
olması neticesinde dikaviter ikiz gebelik gelişti. Gebelik elde edildikten
sonra takipleri hastanemizin kadın hastalıkları ve doğum kliniği tarafından
yapıldı. Şiddetli preeklampsi gelişmesi nedeniyle 35 hafta 4 günlük iken sezaryen-tek
uterin insizyon ile ikiz bebekler doğurtuldu.





Sonuç: Uterus didelfis anomalisinde dikaviter ikiz
gebelik olguları çok nadir olup, başarılı gebelik sonuçları için yakın takip
önemlidir. Bu olguların doğumu veya sezeryanı özellikli olup, deneyimli
kliniklerde yapılmalıdır. 

Kaynakça

  • Rezai S, Bisram P, Lora Alcantara I, Upadhyay R, Lara C, Elmadjian M. Didelphys Uterus: A Case Report and Review of the Literature. Case Rep Obstet Gynecol. 2015;2015:865821.
  • Al Yaqoubi HN, Fatema N. Successful Vaginal Delivery of Naturally Conceived Dicavitary Twin in Didelphys Uterus: A Rare Reported Case. Case Rep Obstet Gynecol. 2017;2017:7279548.
  • Bhagavath B, Ellie G, Griffiths KM, Winter T, Alur-Gupta S, Richardson C, Lindheim SR. Uterine Malformations: An Update of Diagnosis, Management, and Outcomes. Obstet Gynecol Surv. 2017;72:377-392.
  • Khander A, Stern E, Gerber RS, Fox NS. The association between obstetrical history and preterm birth in women with uterine anomalies. J Matern Fetal Neonatal Med. 2018;31:2550-2554.
  • Ng KS, Ng BK, Lim PS, Shafiee MN, Abdul Karim AK, Omar MH. Use of hydroxyprogesterone caproate to prevent preterm labour in uterine didelphys: a case report. Horm Mol Biol Clin Investig. 2016;27:89-91.
  • Brown O, Mahedran D, Lieberman B. A twin pregnancy in a uterus didelphys. J Obstet Gynaecol. 1999;19:82-3.
  • Maki Y, Furukawa S, Sameshima H, Ikenoue T. Independent uterine contractions in simultaneous twin pregnancy in each horn of the uterus didelphys. J Obstet Gynaecol Res. 2014;40:836-9.
  • Nohara M, Nakayama M, Masamoto H, Nakazato K, Sakumoto K, Kanazawa K. Twin pregnancy in each half of a uterus didelphys with a delivery interval of 66 days. BJOG. 2003;110:331-2.
  • Tyagi A, Minocha B, Prateek S. Delayed delivery of second twin in uterus didelphys. Int J Gynaecol Obstet. 2001;73:259-60.
  • Ani EO, Ugwa EA, Taiye AB, Agbor IE, Suleiman IS. Simultaneous pregnancy in each uterine cavity of a double uterus in a young Nigerian multipara who presented with a retained second twin following an unsupervised preterm labor at home; Case report. Int J Surg Case Rep. 2018;42:224-226.
  • Kekkonen R, Nuutila M, Laatikainen T. Twin pregnancy with a fetus in each half of a uterus didelphys. Acta Obstet Gynecol Scand. 1991;70:373-4.
  • Heinonen PK. Uterus didelphys: a report of 26 cases. Eur J Obstet Gynecol Reprod Biol. 1984;17:345-50.
  • Skentou C, Souka AP, To MS, Liao AW, Nicolaides KH. Prediction of preterm delivery in twins by cervical assessment at 23 weeks. Ultrasound Obstet Gynecol. 2001;17:7-10.
  • Cahen-Peretz A, Sheiner E, Friger M, Walfisch A. The association between Müllerian anomalies and perinatal outcome. J Matern Fetal Neonatal Med. 2019;32:51-57.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Necip Cihangir Yılanlıoğlu Bu kişi benim

Koray Özbay 0000-0002-1640-3176

Resul Arısoy

Semra Kahraman Bu kişi benim

Yayımlanma Tarihi 15 Aralık 2019
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

APA Yılanlıoğlu, N. C., Özbay, K., Arısoy, R., Kahraman, S. (2019). Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik. Zeynep Kamil Tıp Bülteni, 50(4), 230-232. https://doi.org/10.16948/zktipb.615521
AMA Yılanlıoğlu NC, Özbay K, Arısoy R, Kahraman S. Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik. Zeynep Kamil Tıp Bülteni. Aralık 2019;50(4):230-232. doi:10.16948/zktipb.615521
Chicago Yılanlıoğlu, Necip Cihangir, Koray Özbay, Resul Arısoy, ve Semra Kahraman. “Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik”. Zeynep Kamil Tıp Bülteni 50, sy. 4 (Aralık 2019): 230-32. https://doi.org/10.16948/zktipb.615521.
EndNote Yılanlıoğlu NC, Özbay K, Arısoy R, Kahraman S (01 Aralık 2019) Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik. Zeynep Kamil Tıp Bülteni 50 4 230–232.
IEEE N. C. Yılanlıoğlu, K. Özbay, R. Arısoy, ve S. Kahraman, “Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik”, Zeynep Kamil Tıp Bülteni, c. 50, sy. 4, ss. 230–232, 2019, doi: 10.16948/zktipb.615521.
ISNAD Yılanlıoğlu, Necip Cihangir vd. “Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik”. Zeynep Kamil Tıp Bülteni 50/4 (Aralık 2019), 230-232. https://doi.org/10.16948/zktipb.615521.
JAMA Yılanlıoğlu NC, Özbay K, Arısoy R, Kahraman S. Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik. Zeynep Kamil Tıp Bülteni. 2019;50:230–232.
MLA Yılanlıoğlu, Necip Cihangir vd. “Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik”. Zeynep Kamil Tıp Bülteni, c. 50, sy. 4, 2019, ss. 230-2, doi:10.16948/zktipb.615521.
Vancouver Yılanlıoğlu NC, Özbay K, Arısoy R, Kahraman S. Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik. Zeynep Kamil Tıp Bülteni. 2019;50(4):230-2.