Two Successful Livebirths from Both Hemiuteruses After Laparoscopic Cervical Cerclage in a Uterus Didelphys Patient with Cervical Insufficiency
10.1097/FM9.0000000000000143
- VernacularTitle:Two Successful Livebirths from Both Hemiuteruses After Laparoscopic Cervical Cerclage in a Uterus Didelphys Patient with Cervical Insufficiency
- Author:
Limei ZHANG
1
;
Xue ZHONG
1
;
Yuqing CHEN
1
;
Tianyu PENG
1
;
Liyun YU
1
;
Jian CAI
1
;
Shuzhong YAO
1
;
Zilian WANG
1
Author Information
1. Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, China
- Publication Type:Journal Article
- Keywords:
Urogenital abnormalities;
Uterus didelphys;
Cervical insufficiency;
Laparoscopic cervical cerclage;
Obstetric outcomes
- From:
Maternal-Fetal Medicine
2022;04(2):155-158
- CountryChina
- Language:English
-
Abstract:
Uterus didelphys occurs in ~0.4% of females and is found in ~11%-20% of all uterus defects. It is a risk factor for cervical insufficiency, consequently contributing to late miscarriage or preterm birth. Thus far, only two prior cases of uterus didelphys accompanied by cervical insufficiency treated through laparoscopic cervical cerclage have been reported; however, livebirth only occurred in one hemiuterus. Herein, we report a case of uterus didelphys in a patient diagnosed with cervical insufficiency. Following the placement of a modified laparoscopic cervical cerclage, the patient had two successful livebirths through both hemiuteruses, respectively, with longer gestation age (ie, >36 weeks). The aim of this case report was to provide useful information for clinical practitioners to make better decisions on the management of cervical insufficiency in patients with uterus didelphys, and identify obstetric complications that clinicians should pay attention to during pregnancy.
