Biomedical subjects
Publications and source records attributed to F Dyck.
Twelve pregnant women with previously undiagnosed cervical incompetence each presented with membranes bulging through a widely dilated cervix and were treated by a cerclage procedure. This emergency closure of the open cervix resulted in a high rate of fetal salvage; 10 of the 12 women were delivered of surviving infants.
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Two cases of uterus didelphys associated with unilateral imperforate vagina are reported with a review of the literature. In all cases investigated, ipsilateral renal agenesis was found on the affected side. A summary of the embryologic development of the female reproductive tract is included, as well as a possible explanation for this rare anomaly. The authors describe their proposed method of management to achieve freedom from symptoms and maintenance of a relatively intact reproductive tract.