Uterus didelphys associated with bilateral dermoid cysts and polycystic ovarian disease

A case is reported of bilateral dermoid cysts in a 21-year-old woman with a double uterus, hirsutism, oligomenorrhea and markedly elevated serum-androgens. After surgery her menstrual periods and serum-androgens were normalized, and a histological review revealed polycystic changes just beneath the ovarian capsule. No histopathologic evidence of stromal luteinization was found, but a little group of Sertoli cells was seen in the tumors. On the basis of the case report and the literature, the clinical importance of a definitive diagnosis of polycystic ovarian disease in both the non-surgical and the surgical management of the syndrome is discussed.