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The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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Uterus didelphys bicollis bicolpos-a case report.

Felix Nyagaka1, Felix Oindi1

  • 1Department of Obstetrics and Gynecology, Aga-Khan University Hospital, Nairobi, Kenya.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|April 5, 2025
PubMed
Summary

Uterus didelphys, a congenital anomaly, involves two separate uterine horns. This case highlights a successful pregnancy with preterm delivery, emphasizing the need for patient counseling on reproductive health implications.

Keywords:
Müllerianarcuatebicollisbicolposbicornuatecerclagedidelphysseptum

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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.