A case of term delivery in a woman with didelphic uterus after expelling the decidual cast at midtrimester: Case report.

Mun, Se Hee; Lee, Jung Pil; Chang, Suk Joon; Kim, Hyun Jin; Ryu, Hee Sug; Chang, Ki Hong

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(10):2434-2439.
Published online October 1, 2005.

A case of term delivery in a woman with didelphic uterus after expelling the decidual cast at midtrimester: Case report.

Se Hee Mun, Jung Pil Lee, Suk Joon Chang, Hyun Jin Kim, Hee Sug Ryu, Ki Hong Chang

Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea. leochris@hanmail.net

Abstract

The passage of decidual cast in pregnancy is rare and mostly associated with some kind of congenital uterine malformation. Since the hemorrhage caused by the passage of decidual cast can easily be mistaken for other causes of the antepartum hemorrhge, it often leads to the premature delivery of the baby which results poor perinatal outcome. Moreover it mostly happened nonpregnant horn in didelphic or bicornuate uterus, although decidual cast was expelled. We have experienced a case of woman with didelphic uterus and past history of two consecutive premature deliveries, who delivered a female baby at 38 gestational weeks through intensive care after expelling decidual cast in pregnant uterus at 30 gestational weeks. We present this case with a brief review of literatures.

Key Words: Didelphic uterus, Decidual cast