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Pregnancy coexisting with uterus didelphys with a blind hemivagina complicated by pyocolpos due to P ediococcus infection: A case report and review of the published reports
Author(s) -
Park Tae Chul,
Lee Hee Joong
Publication year - 2013
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12049
Subject(s) - medicine , uterus didelphys , cervix , uterus , echogenicity , pregnancy , pelvic pain , gestation , vaginal delivery , gynecology , ultrasound , obstetrics , surgery , radiology , genetics , cancer , biology
A woman in early pregnancy was referred due to severe pelvic pain. Vaginal examination showed a severely protruding left vaginal wall with severe tenderness. A transvaginal ultrasound showed a double uterus and a mixed echogenic mass next to the cervix of the left uterus. After creating an opening in the left vaginal wall and inserting a F oley catheter through the opening into the vaginal wall for drainage with antibiotic therapy, the patient's condition rapidly improved. A culture of the pus drained from the vaginal wall showed P ediococcus species. The patient delivered a healthy infant by cesarean section at term gestation without recurrence of pyocolpos. Ten months after delivery, resection of the vaginal septum was performed and the left cervix was exposed. Ultrasound revealed normal kidneys.