Double uterus with pregnancy on the failure of medical abortion underwent curettage in 1 case report.docVIP

 PAGE \* MERGEFORMAT 5 Double uterus with pregnancy on the failure of medical abortion underwent curettage in 1 case report [Keywords:] double uterus; pregnancy; double cervix; curettage 1 Case information Patients, female, 33 years old, the patient 2 production 1,2004 pregnant 37 weeks pregnant natural vaginal delivery diagnosed with double uterus (right side of pregnancy). On March 12, 2010 48 days due to menopause hospitalized patients in the site line treatment of urinary HCG (+) the parallel B-mode ultrasound diagnosis of double uterus with pregnancy (right). Site 50mg the first night of oral mifepristone, the next morning and at night 25mg, 25mg on the third day morning and at night the first 4 days of oral misoprostol 600μg, and check the vagina situation, the Ministry of the pregnant uterus after the dome misoprostol 200μg, 2h less vaginal bleeding, with mild abdominal pain, until the next day, increase the amount of vaginal bleeding, yet to discharge pregnancy tissue, so the site of its curettage. Preoperative ultrasonography showed: Gemini image, the right uterine size of about 7.5cm × 7.8cm × 6.6cm, intrauterine seen a 2.3cm × 2.4cm × 2.1cm about the pregnancy sac echo, echo can be seen tire buds, no significant fetal heart; left uterine size of 2.6cm × 4.1cm × 3.6cm, endometrial line center, the muscle wall echo uniform, bilateral annex no exception. Diagnosis: incomplete medical abortion; double uterus. curettage immediately . intraoperative See: Foreign Yinfa Yu normal, was married has been genotyped in the vagina of about 2cm away from the orifice at the center with a mediastinal, lower edge of the fault (the old Department of injury due to vaginal delivery), in-depth through the entire uterus, the uterus was divided into two typical double uterus and double vagina, cervix left smooth, uterus normal size, soft, good activity; right side of the cervical smooth, was the former position, the size of the uterus about 50 days, the line the