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Uterus didelphys with double vagina diagnosed during third cesarean section: A case report
Namkha Dorji1, Sangay Tshering1, Tshering Wangden1
1Department of Obstetrics and Gynaecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
SAGE Open Medical Case Reports
|January 24, 2022
Summary
Uterus didelphys, a rare uterine anomaly, often presents with complications like breech birth. Routine adnexal exams during cesarean sections can uncover associated conditions, improving patient diagnosis and care.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Uterus didelphys is a rare congenital uterine malformation.
- It is frequently associated with adverse obstetric outcomes, including preterm delivery and cesarean delivery.
- A longitudinal vaginal septum can coexist, potentially causing dyspareunia and labor obstruction.
Observation:
- A 28-year-old woman with a history of two previous cesarean sections was diagnosed with uterus didelphys and a longitudinal vaginal septum during her third cesarean delivery.
- The diagnosis was incidental, discovered during the surgical procedure.
Findings:
- The case highlights the potential for co-occurring anomalies in patients with uterus didelphys.
- The longitudinal vaginal septum was identified in conjunction with the uterine anomaly.
Implications:
- Routine examination of adnexal structures during cesarean sections is crucial for diagnosing unsuspected uterine, tubal, and ovarian pathologies.
- Early or incidental diagnosis of uterine anomalies like uterus didelphys can inform future management and patient counseling.
- Awareness of associated conditions such as vaginal septa is important for comprehensive patient care.
