Student's Scientific Association at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland.
1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland.
Ginekol Pol. 2021;92(12):905-906. doi: 10.5603/GP.a2021.0193.
We report an extraordinary case of double pregnancy in patient with uterus didelphys. This anatomic anomaly originates from the lack of fusion of the paired Mullerian ducts during embryological development with 0.3% prevalence in the population. The patient presented to our department with initial diagnosis which was confirmed during ultrasound examination at 12 weeks - uterus didelphys with dichorionic diamniotic twin gestation. Further ultrasound scans were performed every 4 weeks and revealed small for gestational age fetuses. Due to the uterine malformation and the history of cesarean section, the patient was qualified for an elective cesarean section at 36 weeks of gestation - two premature neonates were delivered in good general conditions.
我们报告了一例子宫双角畸形患者的双胎妊娠。这种解剖学异常起源于胚胎发育过程中成对的 Müllerian 管融合失败，人群中的患病率为 0.3%。患者因最初诊断为子宫双角畸形伴双绒毛膜双羊膜囊双胎妊娠而就诊，在 12 周时经超声检查确诊。进一步的超声检查每 4 周进行一次，显示胎儿为小于胎龄儿。由于子宫畸形和剖宫产史，该患者符合 36 周择期剖宫产的条件，最终娩出两名一般情况良好的早产儿。
