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Double vulva. A case report.

J Fanning

    The Journal of Reproductive Medicine
    |April 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Double vulva is a rare congenital malformation involving duplication of multiple pelvic organs. Early diagnosis through physical examination and imaging is crucial for managing associated anomalies and improving patient outcomes.

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    Area of Science:

    • Reproductive Medicine
    • Pediatric Surgery
    • Medical Genetics

    Background:

    • Double vulva (didelphys) is an exceptionally rare congenital anomaly.
    • Only 17 cases have been documented globally prior to this review.
    • The condition often involves duplication of reproductive, urinary, and lower gastrointestinal tracts.

    Observation:

    • The syndrome typically presents with complete or partial duplication of the vulva, vagina, uterus, urethra, bladder, and colon.
    • Ovaries and kidneys are usually unaffected.
    • Associated congenital malformations, particularly of the lumbar spine and cardiac system, are frequently observed.

    Findings:

    • The etiology of double vulva remains uncertain.
    • A review of 18 cases indicated a significant mortality rate of 35%.

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  • Diagnostic evaluation necessitates a thorough newborn physical examination and comprehensive radiologic surveys.

    • Implications:

    • Early identification of associated anomalies, including congenital heart disease and spinal defects, is critical.
    • Radiological assessment of the spine, gastrointestinal, and urinary systems is essential.
    • Gynecologic surgical intervention is generally not required, except for cosmetic considerations.