Dicavitary Twin Pregnancy in Didelphys Uterus

Yıl 2019, , 230 - 232, 15.12.2019

Necip Cihangir Yılanlıoğlu Koray Özbay , Resul Arısoy , Semra Kahraman

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.

Anahtar Kelimeler

Uterine anomaly, didelphys, uterus, twin pregnancy

Uterus Didelfis Olgusunda Dikaviter İkiz Gebelik

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. 

Anahtar Kelimeler

Uterin anomali, didelfis, uterus, ikiz gebelik

Kaynakça

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