A Case Series of Uterine Didelphys Discovered Incidentally During Child Birth

Abstract

ABSTRACT

Introduction: Uterine didelphys is the rarest form of uterine anomaly. It occurs as a result of failure of or abnormal fusion of the paramesonephric duct. It is mostly asymptomatic but may occationally present with some Gynaecological or Obstetrics complications. Due to it rarity, it is often overlooked during evaluation of patient that present with some of its symptoms. In most cases it is discovered incidentally as it is seen in these 2 case series and other cases in literature.

Case A was an incidental finding of uterine didelphys, longitudinal vaginal septum and a right renal diverticulum in a woman with 2 previous caesarean section discovered at the 3^rd caesarean section.

Case B was that of acute inversion of one uterus in a primigravida with uterine didelphys masquerading as an endometrial polyp discovered during polypectomy. She had subtotal hysterectomy of the inverted extra uterus.

Conclusion: The management of uterine didelphys is often individualized. Factors such as type of anomaly, symptomatology, associated complications and patient specific need often determine treatment offered.