Uterine Didelphys with Twin Pregnancies - A Rare Case Report

Dua Rabel; Pooja Kumari; Zoya Mehran; Ehsanullah Malik; Tazeen Abbasi; Mahwish Faiz

doi:10.70749/ijbr.v3i10.2549

Authors

Dua Rabel Department of Surgery, Chandka Medical College @ SMBBMU, Larkana, Sindh, Pakistan.
Pooja Kumari Department of Surgery, Chandka Medical College @ SMBBMU, Larkana, Sindh, Pakistan.
Zoya Mehran Department of Surgery, Chandka Medical College @ SMBBMU, Larkana, Sindh, Pakistan.
Ehsanullah Malik Department of Surgery, Chandka Medical College @ SMBBMU, Larkana, Sindh, Pakistan.
Tazeen Abbasi Department of Surgery, Chandka Medical College @ SMBBMU, Larkana, Sindh, Pakistan.
Mahwish Faiz Department of Surgery, Chandka Medical College @ SMBBMU, Larkana, Sindh, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i10.2549

Keywords:

Mullerian Duct Anomalies, Uterine Didelphys, Twin Gestation, Acute Abdomen in Pregnancy.

Abstract

Mullerian duct anomalies (MDAs) are congenital malformations arising from abnormal embryological development of mullerian ducts, with uterine didelphys representing a rare subtype. Uterine didelphys, characterized by two separate uterine cavities, accounts for approximately 11% of all MDAs and is often asymptomatic. Pregnancies in MDAs are usually associated with high risk especially in rare occurrence of twin pregnancies with one fetus in each cavity reported at an incidence of about 1 in 1,000,000 pregnancies. We report a rare case of a 23-year-old gravida 3, para 1 woman at 17weeks of gestation who presented with acute abdomen. During surgery for suspected appendicitis, a ruptured right uterus was discovered with a nonviable fetus: the left uterus remained intact with viable fetus. Postoperative recovery went uneventful. However, diagnosis of MDAs in pregnant women requires imaging such as ultrasound or MRI and a careful obstetric examination and planning.

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