In addition, a keen UpToDate opinion for the “Congenital uterine anomalies: Systematic signs and you will diagnosis” (Laufer and you may ) claims you to “Uterus didelphys, or twice uterus, try a replication of reproductive formations. Basically, this new duplication is bound for the womb and cervix (uterine didelphys and you may bicollis [dos cervixes]), in the event replication of your vulva, kidney, urethra, vagina, and you will arsehole also can occur. Fifteen to help you 20% regarding patients having didelphic womb supply unilateral defects, such an obstructed hemivagina and ipsilateral renal agenesis; the latest defects are on the right when you look at the 65% out of circumstances. Uterine didelphys occurs when the 2 Mullerian ducts don’t fuse. Medical diagnosis is generally produced by a mix of ultrasound exhibiting 2 widely broke up uterine horns having a deep fundal indentation and you will speculum examination demonstrating dos cervixes.
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