International Journal of Clinical Obstetrics and Gynaecology

Author(s): Mazen Mohammed Alrassad, Amr Ahmed Mahmoud, Taghreed Alnakeeb, Ahmed Mohamed Kamal Bakr and Amr Nabih Eisa

Abstract: Uterine didelphys is a rare congenital Müllerian anomaly characterized by the failure of fusion of the paramesonephric ducts, resulting in two separate uteri, often associated with variations in vaginal, cervical, and adnexal structures. This report presents an unusual case of a 34-year-old female with a history of two prior cesarean deliveries, who was admitted in labor at 7 cm cervical dilation. During an emergency cesarean section at Kafr Eldawar General Hospital, a second, previously undiagnosed uterus was discovered intraoperatively. This nongravid uterus was found to have a previous surgical scar, indicating a prior pregnancy, and had the right ovary and fallopian tube, whereas the gravid uterus lacked these structures. This case highlights the importance of considering Müllerian anomalies in obstetric patients, emphasizing the role of intraoperative vigilance and thorough surgical evaluation.

DOI: https://doi.org/10.33545/gynae.2025.v9.i2c.1610

Pages: 163-166 | 180 Views | 87 Downloads

Download Full Article: Click Here