Uterine didelphys: diagnosis, management and pregnancy outcome

• Published in: BMJ case reports Vol. 14; no. 3; p. e242233
• Main Authors: Crowley, Clare Margaret, Botros, Karim, Hegazy, Ibrahim Fawzy, O'Donnell, Edward
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 29-03-2021; BMJ Publishing Group
• Subjects: Adult; Babies; Birth control; Case Report; Case reports; Cervix; Cesarean section; Etiology; Fallopian tubes; Female; Hematocolpos; Humans; Kidney; Kidneys; Male; Medical diagnosis; Pregnancy; Pregnancy Outcome; Ultrasonic imaging; Urogenital Abnormalities - diagnostic imaging; Urogenital Abnormalities - surgery; Uterus; Uterus - diagnostic imaging; Uterus - surgery; Vagina; Womens health; obstetrics and gynaecology; reproductive medicine; pregnancy
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2021-242233

This report addresses and discusses two cases of uterine didelphys in pregnancy. The first case describes the diagnosis, management and subsequent pregnancies in a 28-year-old woman, para 2, with known didelphys uterus, left-obstructed hemi-vagina and ipsilateral renal agenesis. This uterine anomaly was diagnosed at 13 years of age, after pelvic imaging identified a haematocolpos and two uteri. To drain this haematocolpos, a hymenectomy was performed. In the second case, an incidental finding of uterine didelphys and vaginal septum in a 28-year-old primigravida is described. Both patients delivered healthy male infants at term via emergency and planned lower segment caesarean sections, indicating women with major uterine anomalies can have successful obstetric outcomes.