Laparoscopic Management of Pregnancy in a Patient with Uterus Didelphys

Abstract

I have read thoroughly the interesting case report, “Laparoscopic Management of Pregnancy in a Patient with Uterus Didelphys, Obstructed Hemivagina, and Ipsilateral Renal Agenesis,” by Nawfal et al [ 1 Nawfal A.K. Blacker C.M. Strickler R.C. Eisenstein D. Laparoscopic management of pregnancy in a patient with uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. J Minim Invasive Gynecol. 2011; 18: 381-385 Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar ]. As I understand it, the patient had uterus didelphys, hypoplastic right hemiuterus with right cervical atresia, right blind hemivagina (although a partial longitudinal septum was later described), right renal agenesis and a transverse vaginal septum that was initially incomplete but had become obstructed and was surgically opened. I find that right hemihysterectomy (with or without gestation) correct when there is cervical or unilateral cervicovaginal atresia. Laparoscopic Management of Pregnancy in a Patient with Uterus Didelphys, Obstructed Hemivagina, and Ipsilateral Renal AgenesisJournal of Minimally Invasive GynecologyVol. 18Issue 3PreviewPregnancy in a rudimentary uterine horn is a rare and potentially lethal condition. The highest risk of rupture is reported to be during the late first and second trimester. The risk of rupture correlates with the thickness of the myometrium surrounding the fetal pole. In 2005, a 20-year-old woman was incompletely diagnosed by imaging studies and laparoscopy to have an absent right kidney, a bicornate uterus with a right rudimentary uterine horn and a single cervix, a transverse vaginal septum with hematocolpos, and endometriosis caused by reflux menstruation. Full-Text PDF ReplyJournal of Minimally Invasive GynecologyVol. 19Issue 2PreviewWe first want to thank Professor Acién for his contribution and valuable input to our article. However, we would like to clarify the following points. Full-Text PDF