Viable pregnancies in women with different mullerian duct anomalies

Some of the fascinating developmental anomalies encountered by Obstetricians and Gynecologists are mullerian duct disorder of various types. The diagnosis is usually made during workup for infertility, recurrent pregnancy loss or cyclic pelvic pain. Because of embryologic developmental structural share and proximity, it is not uncommon to find mullerian duct, urinary tract and skeletal anomalies concurrently. Three parous women with different mullerian duct malformations preoperatively diagnosed as ovarian tumor, ectopic pregnancy and footling breech are reported Intraoperatively, the first case was found to have uterine didelphys with blind hemivagina, lumbosacral bones defect and hypoplastic pelvic kidney. In the second case, bicornuate uterus with viable pregnancy and in the third case, fetus and placenta in separate cavity of partially septated uterus were identified Literature on the embryologic association of mesonephric and paramesonephric ducts anomaly, the reproductive outcome and place of metroplasic surgery are reviewed.