Uterine Didelphys with Pregnancy Outcomes: A Case Report

  • Shahanaj Sharmin Department of Gynaecology and Obstetrics, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong
  • Didarul Alam Department of Paediatrics, Bangabandhu Memorial Hospital (USTC), Chittagong
  • Farzana Rahman Department of Obstetrics and Gynaecology, Manikganj Health Complex, Manikganj
Keywords: Uterine Didelphys; Preterm delivery; Caesarean section; Neonatal Intensive Care Unit.

Abstract

A didelphys uterus also known as a “double uterus” is one of the least common Mullerian duct anomalies. Uterine didelphys is a congenital malformation that result from complete failure of fusion of the ipsilateral Mullerian duct during embryonic development. Ideally, diagnosis should be made before pregnancy and labour to prevent adverse outcomes. Here reporting a case who was a 19 years old, 4thgravida, Para: 0+3 (Spontaneous abortion) referred to Bangabandhu Memorial Hospital (BBMH) USTC, Chittagong at 35 weeks of pregnancy with severe abdominal pain by local physician from Raozan, Chittagong. On vaginal examination a longitudinal vaginal septum and two vagina were found. Uterine Didelphys was confirmed during emergency caesarean section and delivered 1.5 kg male baby with APGAR score 7/10 and was referred to Neonatal Intensive Care Unit (NICU). Post operative recovery of the mother was uneventful. The baby was also discharged at the age of seven days with establishment of breast feeding. To avoid delayed diagnosis and associated adverse outcome clinicians should have high index of suspicion of uterine anomaly when assessing cases of dysfunctional labour.

Chatt Maa Shi Hosp Med Coll J; Vol.17 (2); Jul 2018; Page 53-55

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Author Biographies

Shahanaj Sharmin, Department of Gynaecology and Obstetrics, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong

Department of Gynaecology and Obstetrics

Didarul Alam, Department of Paediatrics, Bangabandhu Memorial Hospital (USTC), Chittagong

Department of Paediatrics

Farzana Rahman, Department of Obstetrics and Gynaecology, Manikganj Health Complex, Manikganj

Department of Obstetrics and Gynaecology

Published
2019-01-14
How to Cite
Sharmin, S., Alam, D., & Rahman, F. (2019). Uterine Didelphys with Pregnancy Outcomes: A Case Report. Chattagram Maa-O-Shishu Hospital Medical College Journal, 17(2), 53-55. https://doi.org/10.3329/cmoshmcj.v17i2.39779
Section
Case Reports