Uterine Didelphys in a G4P3+0: a Disturbing Phenomenon at Caesarean Section

Abstract

Introduction: Uterine didelphys is an extremely very rare Müllerian duct defect globally that if found coincidentally can be so disturbing to the attending clinician, the patient and her family members. Wepresent a case report of an undiagnosed uterus didelphys in a pregnant woman who was admitted at 39 weeks and 4 days of amenorrhea with a double uterus that was found coincidentally at her third delivery by elective caesarean section and had a good fetal outcome. Case presentation: We are presenting a 32 year old Gravida 4 Para 3+0 patient who was admitted at 39 weeks and 4 days of amenorrhea and reported a history of three previous caesarean scars. She was accordingly delivered by elective caesarean section. Intraoperatively, a second non gravid uterus with ipsilateral fallopian tube and ovary was coincidentally noted and a contralateral fallopian tube without ovary was also appreciated in the same uterus. Exploration revealed that each uterus had one fallopian tube and ovary, and that both uteri joined at one cervix. Conclusion: Careful assessment of all women scheduled for surgery is crucial to avoid such unnecessary disturbing phenomena