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孕期双子宫:一种罕见的苗勒管异常病例报告

Didelphys Uterus in Pregnancy, an Uncommon Mullerian Duct Anomaly: A Case Report.

作者信息

Jorgensen Colin, Lusiak Monika

机构信息

AMITA Health Resurrection Medical Center, Department of Emergency Medicine, Chicago, Illinois.

出版信息

Clin Pract Cases Emerg Med. 2021 Nov;5(4):447-449. doi: 10.5811/cpcem.2021.7.53212.

DOI:10.5811/cpcem.2021.7.53212
PMID:34813441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8610469/
Abstract

INTRODUCTION

Didelphys uterus, or "double uterus," is one of the rarest Müllerian duct anomalies (MDA). Due to its rarity, data are sparse on overall outcomes associated with this congenital defect, but it may be associated with several complications, both pregnancy and non-pregnancy related.

CASE REPORT

In this case, a pregnant 35-year-old female with vaginal bleeding was subsequently diagnosed with uterus didelphys by transvaginal ultrasound imaging.

CONCLUSION

Despite its rarity, clinicians should be aware of MDAs and their associated compli-cations with pregnancy.

摘要

引言

双子宫,即“双子宫体”,是最罕见的苗勒管畸形(MDA)之一。由于其罕见性,关于这种先天性缺陷的总体结局的数据稀少,但它可能与多种并发症相关,包括妊娠相关和非妊娠相关的并发症。

病例报告

在本病例中,一名35岁的孕妇出现阴道出血,随后经阴道超声成像诊断为双子宫。

结论

尽管双子宫罕见,但临床医生应了解苗勒管畸形及其与妊娠相关的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7cd/8610469/85f51183e879/cpcem-5-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7cd/8610469/a6646654c146/cpcem-5-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7cd/8610469/85f51183e879/cpcem-5-447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7cd/8610469/a6646654c146/cpcem-5-447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7cd/8610469/85f51183e879/cpcem-5-447-g002.jpg

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The Impact of Uterus Didelphys on Fertility and Pregnancy.双子宫对生育和妊娠的影响。

本文引用的文献

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Didelphys Uterus: A Case Report and Review of the Literature.双子宫:一例病例报告及文献综述
Case Rep Obstet Gynecol. 2015;2015:865821. doi: 10.1155/2015/865821. Epub 2015 Sep 7.
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Herlyn-Werner-Wunderlich syndrome: a very rare urogenital anomaly in a teenage girl.赫林-韦纳-温德利希综合征:一名青少年女性中极为罕见的泌尿生殖系统异常。
J Emerg Med. 2015 Mar;48(3):e73-5. doi: 10.1016/j.jemermed.2014.09.064. Epub 2014 Dec 8.
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Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies.先天性子宫异常的临床意义:比较研究的荟萃分析
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Am J Obstet Gynecol. 2014 Jul;211(1):26.e1-5. doi: 10.1016/j.ajog.2014.03.014. Epub 2014 Mar 11.
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Imaging of Müllerian duct anomalies.苗勒管异常的影像学检查
Top Magn Reson Imaging. 2010 Jul;21(4):225-35. doi: 10.1097/RMR.0b013e31823d801d.
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Mullerian duct anomalies: from diagnosis to intervention.苗勒管畸形:从诊断到干预。
Br J Radiol. 2009 Dec;82(984):1034-42. doi: 10.1259/bjr/99354802. Epub 2009 May 11.
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Female genital anomalies affecting reproduction.影响生殖的女性生殖器异常。
Fertil Steril. 2002 Nov;78(5):899-915. doi: 10.1016/s0015-0282(02)03368-x.
8
Clinical implications of uterine malformations and hysteroscopic treatment results.子宫畸形的临床意义及宫腔镜治疗结果
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9
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