Document Type

Article

Department

Obstetrics and Gynaecology (East Africa)

Abstract

Uterus didelphys refers to a congenital uterine anomaly that occurs due to failed fusion of the paired Müllerian ducts. It is characterized by two separate noncommunicating uterine horns each with its cervix and fallopian tube. Duplication may be limited to the uterus, cervix or also involve the vagina. Here, we present a case of a 27-year-old primigravida incidentally diagnosed during pregnancy, followed up with cervical cerclage at 13 weeks due to a short cervix and had preterm delivery via cesarean section at 35 weeks. She had a successful pregnancy outcome and an uneventful postnatal course. Uterus didelphys is associated with better reproductive outcomes compared to other anomalies. However, patients are at risk of fetal malpresentation, preterm labor and cesarean section. Patients therefore need to be counseled on the clinical implications for shared decision making regarding their reproductive health.

Publication (Name of Journal)

International Journal of Gynecology and Obstetrics

DOI

https://doi.org/10.1002/ijgo.70140

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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