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Bicornuate UterusFrom: Dr Eberhard W Lisse (el@ac.lisse.na)Fri Apr 2 22:59:55 2004
I got a referral from a GP 60km away who does not have anesthesia facilities readily available. G1P0 at term, with the problem being that the head was high and he felt a mass in the Pouch of Douglas, obviously blocking entry. The ultrasound revealed, not surprisingly, a mass in the Pouch of Douglas suggesting a firbroid in the posterior lower segment. At the otherwise uneventual vaginal bypass surgery we found a 2.8kg baby in the right uterus and the left one lying sort of around the lower segment into the Pouch of Douglas. Each uterus had a normal loking tube and overy. Ok, rare, but not unheard of. Actually it was cool surgery, eve more so because my assistant and anaesthetis came up with a few mind boggling questions (tongue firmly implanted in cheek :-)-O): Here we usually sterilize after the third section. Now if she were to have three section on the right, would we ligate both tubes or only the one on the right? If one were to remove one of the Uteri at some stage for whatever reason, would that be classified as sub total hysterectomy? And if one did the other one later, a Re-Hysterectomy? Or, if one found both uterine cavities with the hysteroscope, could one claim for two hysteroscopies? How whould one call twins if each one occupied one of the uteri? etc, etc :-)-O el
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