Hafizi Leili, Ghomian Nayereh
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Reprod Biomed. 2019 Mar 3;17(1):67-70. doi: 10.18502/ijrm.v17i1.3822. eCollection 2019 Jan.
A unicornuate uterus is present in 0.1% of the general population. This müllerian anomaly carries significant obstetrical risk including abortion, preterm delivery, and rudimentary horn ruptures. The patient is a 24-yr-old primigravida with 12-wk gestational age and a twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn. One fetus in the unicornuate uterus and other in the rudimentary horn that was ruptured. In urgent laparotomy rudimentary horn and fallopian tube excised. Pregnancy in the unicornuate uterus was continued and at 38-wk gestational age, cesarean section due to premature rupture of the membrane was performed and then normal fetus was delivered. Twin pregnancy in a unicornuate uterus and rudimentary horn is a rare condition that carries a considerable risk to the mother. There is a need for increased awareness of this rare condition to prevent maternal morbidity and mortality.
双角子宫在普通人群中的发生率为0.1%。这种苗勒管异常会带来重大的产科风险，包括流产、早产和残角破裂。患者为一名24岁初孕妇，孕龄12周，双胎妊娠，位于双角子宫和非交通性残角内。一个胎儿在双角子宫内，另一个在已破裂的残角内。在紧急剖腹手术中，切除了残角和输卵管。双角子宫内的妊娠继续进行，孕38周时，因胎膜早破行剖宫产，随后娩出正常胎儿。双角子宫和残角内的双胎妊娠是一种罕见情况，对母亲有相当大的风险。需要提高对这种罕见情况的认识，以预防孕产妇发病和死亡。
