Uterus didelphys with pregnancy and its different maternal and perinatal outcomes

Authors

  • Rajshree Dayanand Katke Department of Obstetrics and Gynecology, Suprintendent Cama and Albless Hospital, Mumbai, Maharashtra, India
  • Sivanandini Acharya Department of Obstetrics and Gynecology, J. J. Group of Hospital, Mumbai, Maharashtra, India
  • Soni Mourya Department of Obstetrics and Gynecology, J. J. Group of Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174465

Keywords:

Caesarian section, Mullerian duct, Obstetric hysterectomy, Perforation, Uterus didelphys, Vertical vaginal septum

Abstract

Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also known as a “double uterus,” is one of the least common amongst MDAs. These abnormalities can include failure of development, fusion, canalization, or reabsorption, which normally occurs between 6 and 22 weeks in utero. Most sources estimate an incidence of these abnormalities to be from 0.5 to 5.0% in the general population. It is an observational study of cases of uterine didelphys with pregnancy over a period of 2 years. Uterus didelphys with pregnancy has variable maternal and perinatal outcome. First case presents an uneventful course in pregnancy which was terminated with caesarian section with a healthy baby. Second case presented to us with retained placenta with perforation of left horn which was managed by obstetric hysterectomy. The third case presents a didelphys uterus with a congenitally abnormal fetus with Hydrops fetalis with IUFD at 7th month of gestation terminated by caesarian section due to associated vertical vaginal septum. Pregnancy in a uterus Didelphys deserves early diagnosis of the anomaly, and meticulous care in pregnancy and delivery to avert the associated adverse outcomes.

Author Biographies

Sivanandini Acharya, Department of Obstetrics and Gynecology, J. J. Group of Hospital, Mumbai, Maharashtra, India

RESIDENT DOCTOR

Soni Mourya, Department of Obstetrics and Gynecology, J. J. Group of Hospital, Mumbai, Maharashtra, India

RESIDENT DOCTOR

References

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Ng PC, Kann KS. Cervical ectopic pregnancy in a 23 year old with uterus didelphys. Clin Pract Cases Emergency Med. 2017

Heinonen PK. Clinical implications of the didelphic uterus: long-term follow-up of 49 cases. Eur J Obstet Gynecol Reprod Biol. 2000;91(2)183-90.

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Published

2017-09-23

Issue

Section

Case Reports