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KMID : 0358419690120090037
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Korean Journal of Obstetrics and Gynecology
1969 Volume.12 No. 9 p.37 ~ p.39
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Pregnancy and Labor After a Subtotal Hysterectomy in a Double Uterus
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朴順道/Park, Sun Do
洪龍河/정희식/이동구/Hong, young Ha/Chung, Hee Sick/Lee, Dong Koo
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Abstract
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Uterus duplsc un-ieolhs is the term that could be applied to that congenital anomaly where: there, is complete external separation of the uteri low up to the level of the internal os but have one cervix.
Mrs. M.O.S. had normal full term delivery at home in a small town when she was 22 years old. At the age of 24, she was under full term condition and had dystocia, and the fetus was dead in the uterus. In the small town the classic cesarean section was performed by a physician. The patient, aged 27, visited us on May 7, 1964 and the complaints were dysmenorrhea since last operation and sterility condition. On examination the cervix was usual shaped and only one. An adult-fist sized, non-tender, ovoid, firm mass was palpated at the right adnexal region, appearing a right ovarian tumor. On May 11, 1964 under general anesthesia laparotomy was performed. The right lower abdominal mass was firmly adherent to the pelvic organs and the mass was difficult to do orientation. It was the right uterus of a double uterus with right tube and ovary. The mass was removed with some difficulty subtotally and the bleeding was not remarkable. Incidental appendectomy was performed. After the third postoperative day, the patient was febrile and the right lower abdomen was getting tender and enlarged. On May 27, 1964, with right low lateral rectus incision, approximately 500c.c. old blood clots were removed extraperitoneally. One week later she was discharged in good condition. Operative Specimen: The specimen was a cystic and incompletely removed uterus with a retort shaped tube and ovary attached. The hemisecteds shows completely cystic with dark old - blood content and the wall is uniform in thickness. The lower part of the cavity was completely closed. On the anterior surface and wall of the uterus several silk stick materials were seen. The right tube was enlarged and retort shaped with old blood and the ovary was not remarkable.
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