Complex Presentation of Uterus Didelphys With Bilateral Leiomyomas: A Case Report

Area of Science:

• Reproductive medicine
• Gynecologic surgery
• Medical case studies

Background:

• Müllerian duct anomalies and uterine leiomyomas are distinct gynecologic conditions.
• Uterine leiomyomas are common, while Müllerian anomalies are less frequent.
• Their co-occurrence presents unique clinical challenges.

Observation:

• A patient presented with chronic abdominal pain and swelling.
• Diagnosis revealed uterus didelphys (a congenital anomaly) coexisting with uterine leiomyomas.
• A rectovesical peritoneal band was incidentally found during surgery.

Findings:

• This case demonstrates a rare combination of congenital uterus didelphys and uterine leiomyomas.
• Surgical management was complex due to the coexisting conditions.
• The presence of a rectovesical peritoneal band added another layer of complexity.

Implications:

• This case expands understanding of rare gynecologic presentations.
• It underscores the importance of thorough evaluation for coexisting pathologies.
• Insights are provided for managing similar complex cases in reproductive health.