Uterus didelphys bicollis bicolpos-a case report

Area of Science:

• Reproductive Medicine
• Gynecology
• Congenital Anomalies

Background:

• Uterus didelphys is a rare congenital uterine anomaly resulting from incomplete fusion of the Müllerian ducts.
• It presents as two separate uterine horns, each with its own cervix and fallopian tube, and can involve vaginal duplication.
• This condition can impact reproductive health and pregnancy outcomes.

Purpose of the Study:

• To present a case of uterus didelphys incidentally diagnosed during pregnancy.
• To describe the management and successful pregnancy outcome in a patient with this anomaly.
• To discuss the reproductive implications and counseling needs for patients with uterus didelphys.

Main Methods:

• Case report of a 27-year-old primigravida.
• Diagnosis incidentally during pregnancy.
• Management included cervical cerclage at 13 weeks due to a short cervix.
• Delivery via cesarean section at 35 weeks.

Main Results:

• Successful pregnancy outcome with preterm delivery at 35 weeks via cesarean section.
• Uneventful postnatal course for both mother and neonate.
• Uterus didelphys is associated with a higher risk of fetal malpresentation, preterm labor, and cesarean delivery.

Conclusions:

• Uterus didelphys can have successful pregnancy outcomes, often better than other uterine anomalies.
• Patients require comprehensive counseling regarding risks such as preterm labor and malpresentation.
• Shared decision-making is crucial for managing reproductive health in women with uterus didelphys.