Uterine didelphys: an incidental finding during caesarean section
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250885Keywords:
Mullerian anomalies, Uterine didelphys, Diagnostic challengesAbstract
Mullerian duct anomalies are congenital defects of the female reproductive system resulting from abnormal embryological development. Uterine didelphys occurs due to the failure of embryonic fusion of the Mullerian ducts. This results in the presence of a double uterus with two separate cervices, and often a double vagina; it is extremely rare and can have unpredictable effects on reproductive health and gestation. We report a case of accidental finding of uterine didelphys in a 27-year-old gravida 5 para 4 live 3 with previous three term vaginal deliveries and one caesarean section with history of tubal sterilization, during caesarean section.
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Nouri K, Ott J, Huber JC, Fischer EM, Stögbauer L, Tempfer CB. Reproductive outcome after hysteroscopic septoplasty in patients with septate uterus-a retrospective cohort study and systematic review of the literature. Reprod Biol Endocrinol. 2010;8:52. DOI: https://doi.org/10.1186/1477-7827-8-52
Slavchev S, Kostov S, Yordanov A. Pregnancy and childbirth in uterus didelphys: a report of three cases. Medicina. 2020;56(4):198. DOI: https://doi.org/10.3390/medicina56040198
Wang Q, Zhang H, Yang W, Liang X, Fan Y. A Rare Case Report of Uterine Didelphys, in Which One Uterus Carried a Pregnancy While the Other Carried Twice, with a Successful Pregnancy Outcome Resulting in an Alive-Term Delivery. Open Access Library J. 2023;10(11):1-6. DOI: https://doi.org/10.4236/oalib.1110930
Rezai S, Bisram P, Lora Alcantara I, Upadhyay R, Lara C, Elmadjian M. Didelphys uterus: a case report and review of the literature. Case Rep Obstet Gynecol. 2015;2015(1):865821. DOI: https://doi.org/10.1155/2015/865821
Chan YY, Jayaprakasan K, Zamora J, Thornton JG, Raine-Fenning N, Coomarasamy A. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761-71. DOI: https://doi.org/10.1093/humupd/dmr028
Acién P, Acién M. The presentation and management of complex female genital malformations. Hum Reprod Update. 2016;22(1):48-69. DOI: https://doi.org/10.1093/humupd/dmv048
Grimbizis GF, Gordts S, Di Spiezio Sardo A, Brucker S, De Angelis C, Gergolet M, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28(8):2032-44. DOI: https://doi.org/10.1093/humrep/det098
Braun P, Grau FV, Pons RM, Enguix DP. Is hysterosalpingography able to diagnose all uterine malformations correctly? A retrospective study. Eur J Radiol. 2005;53(2):274-9. DOI: https://doi.org/10.1016/S0720-048X(04)00113-5
Yayna AA, Ayza A, Dana WW, Desalegn A, Kassaye G, Yemaneh A, et al. A rare case report of uterine didelphys, in which one uterus carried a pregnancy while the other prolapsed, with a successful pregnancy outcome resulting in an alive-term delivery. SAGE Open Med Case Rep. 2023;11:2050313X231159505. DOI: https://doi.org/10.1177/2050313X231159505
Sharmin S, Alam D, Rahman F. Uterine didelphys with pregnancy outcomes: a case report. Chattagram Maa-O-Shishu Hosp Med Coll J. 2018;17(2):53-5. DOI: https://doi.org/10.3329/cmoshmcj.v17i2.39779
Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7(2):161-74. DOI: https://doi.org/10.1093/humupd/7.2.161
Raga F, Bauset C, Remohi J, Bonilla-Musoles F, Simón C, Pellicer A. Reproductive impact of congenital Müllerian anomalies. Hum Reprod (Oxford, England). 1997;12(10):2277-81. DOI: https://doi.org/10.1093/humrep/12.10.2277
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