title: [A rare etiology of praevia barrier by the non gravid uterus in a duplex uterus (didelphys): ultrasound findings].
abstract: The Authors report a rare case of praevia barrier from a duplex uterus (didelphys). A 30 Year old pregnant woman was admitted for ultrasound examination. Her past history included two cesarean sections with a stillborn infant in one case and a live infant with psychomotor retardation in the other case. Third trimester ultrasound examination was consistent with a 36-37 weeks gestation. A 9.1 by 5.8 cm retro-cervical praevia mass was also noted deep in the pelvis. The mass was similar in appearance to myometrium. Elective cesarean section performed at 38 weeks of gestation delivered a normal healthy 2950 g male infant and revealed a second non gravid uterus corresponding to the mass seen at ultrasound. Pelvic examination confirmed a diagnosis of uterus didelphys (uterus duplex bicornis bicollis with vaginal septum) separated by a sagittal partition. The post-operative course was uneventful. Praevia barrier by a half uterus in a patient with duplex uterus is a rare condition that can easily be detected by careful ultrasound examination thus preventing complications at delivery.
authors.affiliation: Service de radiologie.
authors.forename: R D
authors.initials: RD
authors.lastname: N'gbesso
authors.forename: S
authors.initials: S
authors.lastname: Ouedraogo
authors.forename: G
authors.initials: G
authors.lastname: Quenum
authors.forename: M
authors.initials: M
authors.lastname: Ould-Beddi
authors.forename: A M
authors.initials: AM
authors.lastname: N'goan-Domoua
authors.forename: R
authors.initials: R
authors.lastname: Koné
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004461:Eclampsia / Q000209:etiology; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities