Double vagina with double uterus and a single intrauterine pregnancy 1 case of painless abortion.docVIP

 PAGE \* MERGEFORMAT 4 Double vagina with double uterus and a single intrauterine pregnancy 1 case of painless abortion [Keywords:] uterine / vaginal malformations, pregnancy, abortion A medical record Patients, female, 20 years old, unmarried. By menopause, 50 days with morning sickness 1 week, on March 20, 2009 to our hospital for treatment. The last menstrual period January 31, 2009, normal menstrual cycle is 28 to 30 days . gynecological examination: Yin Fayu outside the normal production model was not married, vaginal integrity of the mediastinum, the right side of the vagina more lenient in the left vaginal stenosis, were the top two cervical vaginal, cervical smooth, on the right than the left cervical cervical large and colored, such as the pelvic cavity can reach a pregnant 50 days, a normal-sized uterus and uterus. no tenderness, no abnormal bilateral annex area. Ultrasonic Tip: double uterus, the right uterine pregnancy, uterine anterior, showing the saddle type, full of the right than left, increasing the size as 7 weeks pregnant. Laboratory tests: positive HCG in urine, vaginal discharge normal routine. Check ECG before surgery, blood and clotting time were normal. Well preoperative fasting, forbidden to drink 4 h. assist the patient to take the bladder lithotomy position, establishing intravenous access, oxygen, continuous ECG monitoring of vital signs. Anesthetists static thrust Propofol 1 min after the patients lost consciousness, down in the regular disinfection of the perineum painless abortion, with a glimpse of exposing genitals to the right side of the cervix, cervical clamp fixation, measured with a probe depth of the uterine cavity after surgery, patients Chengshun Li, 2 min, were scraped off tissue examination, the size of about 45 days pregnant, see the chorionic villi, the hand blood loss of about 10 ml, 3 min after the end of surgery were fully awake. patient complaints: mild abdominal pain. to help put on underwear, suppo