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Uterine Didelphys in a Pregnant Mother

Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1423-1430页

作者： omeed paknejad Dana Bryant Carla Peterkin Wendy Wilcox Saint George’s University School of Medicine St. George Grenada New York City Health and Hospitals Corporation: Kings County Hospital Obstetrics Gynecology and Women’s Health Brooklyn NY USA

Background: Uterine Didelphys is a rare congenital condition and it can affect both mother and fetus. A 24 year-old patient presented to the emergency room with pelvic pain and a pelvic ultrasound confirmed the presence of Uterine Didelphys. She subsequently became pregnant and was first seen at 21 weeks gestation. She was designated as a high-risk patient during the second trimester when she experienced irregular contractions. She was monitored weekly with Non-Stress Tests and eventually was delivered by Cesarean Section. Uterine Didelphys can be detected in-utero in affected individuals, and clinical findings vary among individuals. Some may be asymptomatic, whereas others will experience dyspareunia, and still others may present with concurrent renal agenesis. Serial sonograms are performed throughout their pregnancy to evaluate fetal growth and well-being, as well as cervical length. Unlike many uterine anomalies, Uterine Didelphys does not affect fertility but can affect labor, fetal growth, placentation, fetal viability and fetal outcome. Uterine Didelphys frequently results in recurrent miscarriages and may cause preterm labor and necessitate cesarean section. The presentation, associated symptoms, methods of detection and management options for Uterine Didelphys will be discussed.

关键词： Uterine Didelphys and Pregnancy Uterine Anomaly and Pregnancy

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Accessory Breast Tissue in Pregnancy

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Open Journal of Obstetrics and Gynecology 2019年第7期9卷 954-959页

作者： omeed paknejad Dana Bryant Carla Peterkin Wendy Wilcox Michele Follen School of Medicine Saint George’s University St. George Grenada Division of General Obstetrics Division of Maternal Fetal Medicine Kings County Hospital Brooklyn NY USA

Accessory breast tissue development frequently occurs in addition to physiologic breast development and is a common congenital condition with an occurrence of 0.4% to 6% in women and 1% - 3% in men. A 31-year-old G1P0 female presented to our triage at 20 + 4 weeks gestation with a one-week history of painful bilateral axillary lumps. Her last menstrual period was consistent with an estimated gestational age of 39 + 3 weeks by LMP. She had emigrated from Bengal three years earlier with no other gynecological complaints and knew of no abnormalities on physical exam. The painful axillary lumps were found to be accessory breast tissue. This entity is presented as a palpable thickening that is most prevalent along the milk line in the region immediately below the breasts, along the abdomen, in the axilla and in the groin region adjacent to the vulva. Affected individuals may undergo premenstrual changes such as tenderness, swelling, and difficulty with shoulder range of motion and irritation. The onset of pregnancy stimulates the tissue and makes it more evident as it did with our patient.

关键词： Accessory Breast Tissue Pregnancy Axilla Milk Line Polymastia Supernumerary Nipples

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Accessory Breast Tissue in Pregnancy

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Open Journal of Obstetrics and Gynecology 2019年第7期

作者： omeed paknejad Dana Bryant Carla Peterkin Wendy Wilcox Michele Follen Division of General Obstetrics Division of Maternal Fetal Medicine Kings County Hospital Brooklyn NY

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