A Rare Case Report of Uterine Didelphys, in Which One Uterus Carried a Pregnancy While the Other Carried Twice, with a Successful Pregnancy Outcome Resulting in an Alive-Term Delivery
Uterine didelphys is a rare congenital anomaly of the female reproductive organs, designated by the presence of the uterus as a pair of organ, the chance of having a pregnancy in one of the uterus while the other one had successfully pregnant twice is very low. In this case, report we present a 31-year-old gravida four para three deliveries (two Cesarean section, alive and healthy, one spontaneous abortion) woman, who received C-section to terminate pregnancy due to intrauterine hypoxia and oligohydramnios, with the outcome of a 3000 g male alive neonate. Intraoperatively, there was uterine didelphys, one uterus holding the pregnancy while the other with caesarean section scar.
Cite this paper
Wang, Q. , Zhang, H. , Yang, W. , Liang, X. and Fan, Y. (2023). A Rare Case Report of Uterine Didelphys, in Which One Uterus Carried a Pregnancy While the Other Carried Twice, with a Successful Pregnancy Outcome Resulting in an Alive-Term Delivery. Open Access Library Journal, 10, e930. doi: http://dx.doi.org/10.4236/oalib.1110930.
Akhtar, M.A., Saravelos, S.H., Li, T.C., et al. (2020) Reproductive Implications and Management of Congenital Uterine Anomalies. BJOG: An International Journal of Obstetrics & Gynaecology, 127, e1-e13. https://doi.org/10.1111/1471-0528.15968
Nahum, G.G. (1998) Uterine Anomalies. How Common Are They, and What Is Their Distribution among Subtypes? The Journal of Reproductive Medicine, 43, 877-887.
Grimbizis, G.F., Camus, M., Tarlatzis, B.C., et al. (2001) Clinical Implications of Uterine Malformations and Hysteroscopic Treatment Results. Human Reproduction Update, 7, 161-174. https://doi.org/10.1093/humupd/7.2.161
Hua, M., Odibo, A.O., Longman, R.E., et al. (2011) Congenital Uterine Anomalies and Adverse Pregnancy Outcomes. American Journal of Obstetrics and Gynecology, 205, 558.E1-558.E5. https://doi.org/10.1016/j.ajog.2011.07.022
Chan, Y., Jayaprakasan, K, Tan, A., et al. (2011) Reproductive Outcomes in Women with Congenital Uterine Anomalies: A Systematic Review. Ultrasound in Obstetrics & Gynecology, 38, 371-382. https://doi.org/10.1002/uog.10056
Stearns, K. and Al Khabbaz, A. (2018) Bicornuatebicollis Uterus with Obstruction of the Lower Uterine Segment and Cervical Prolapse Complicating Pregnancy. Case Reports in Obstetrics and Gynecology, 2018, Article ID: 8910976.
https://doi.org/10.1155/2018/8910976
Nouri, K., Ott, J., Huber, J.C., et al. (2010) Reproductive Outcome after Hysteroscopic Septoplasty in Patients with Septate Uterus-A Retrospective Cohortstudy and Systematic Review of the Literature. Reproductive Biology and Endocrinology, 8, Article No. 52. https://doi.org/10.1186/1477-7827-8-52
Ribeiro, S.C., Tormena, R.A., Peterson, T.V., et al. (2009) Mullerian Duct Anomalies: Review of Current Management. Sao Paulo Medical Journal, 127, 92-96.
https://doi.org/10.1590/S1516-31802009000200007
Kabiri, D., Arzy, Y. and Hants, Y. (2013) Herlyn-Werner-Wuderlich Syndrome: Uterus Didelphys and Obstructed Hemivagina with Unilateral Renal Agenesis. The Israel Medical Association Journal, 15, 66-68.
Liang, F. and Hu, W. (2010) Pregnancy Complications and Obstetric Outcomes among Women with Congenital Uterine Malformations. International Journal of Gynecology & Obstetrics, 109, 159-160. https://doi.org/10.1016/j.ijgo.2009.12.012
Liang, F. and Hu, W. (2010) Pregnancy Complications and Obstetric Outcomes among Women with Congenital Uterine Malformations. International Journal of Gynecology & Obstetrics, 109, 159-160. https://doi.org/10.1016/j.ijgo.2009.12.012
Heinonen, P.K., Saarikoski, S. and Pystynen, P. (1982) Reproductive Performance of Women with Uterine Anomalies. An Evaluation of 182 Cases. Acta Obstetricia et Gynecologica Scandinavica, 61, 157-162.
https://doi.org/10.3109/00016348209156548
