Placenta Increta With Uterus Didelphys Gravidity: Single Hospital Case Report

O. Urushadze, N. Kintraia, L Ezieshvili, N. Metskhvarishvili, M. Rizhvadze


 24 years old primigravida has started antenatal care in the TSMU First University Clinic with previously diagnosed uterus didelphys.  Normally progressive pregnancy in a right uterus has been confirmed with gestation age 9 week. Minimal symptom of suprapubic tingling feeling has been started from 28 weeks of gestation, ultrasound has revealed myometrium thinning behind placenta.  At 30 week of gestation abnormal placental lacunae and its abnormal Doppler has been revealed. Case followed by weekly checkup of the pregnant woman monitoring general condition of the woman and fetus. Caesarian section has been planned at 36 weeks of gestation as condition of patient was stable. Intraoperatively placenta increta has been confirmed in the upper 2/3 of the right gravid uterus with minimal presence of myometrium in this area.  Amputation of the right uterus has been performed without right sided salpingooforectomy. Left uterus has been preserved with left adnexa. Patient with her health neonate has been discharged from the hospital on the 5-th day after caesarian delivery.

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