Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section
Introduction: Uterine didelphys is an exceptionally rare Müllerian duct anomaly that, when incidentally discovered, can be profoundly disconcerting for attending clinicians, patients, and their families. In this case report, we described an instance of undiagnosed uterine didelphys in a pregnant wom...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-10-01
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| Series: | Women’s Health Bulletin |
| Subjects: | |
| Online Access: | https://womenshealthbulletin.sums.ac.ir/article_49756_50fe97d9ba1ec773aea79b444ef45b9b.pdf |
| _version_ | 1797359911935410176 |
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| author | Abdibasid Ali Yakub Mohamud Yakub Kune Byonanuwe Simon |
| author_facet | Abdibasid Ali Yakub Mohamud Yakub Kune Byonanuwe Simon |
| author_sort | Abdibasid Ali |
| collection | DOAJ |
| description | Introduction: Uterine didelphys is an exceptionally rare Müllerian duct anomaly that, when incidentally discovered, can be profoundly disconcerting for attending clinicians, patients, and their families. In this case report, we described an instance of undiagnosed uterine didelphys in a pregnant woman who was admitted at 39 weeks and 4 days of amenorrhea for her third delivery, wherein the condition was coincidentally identified during an elective cesarean section, resulting in a favorable fetal outcome.Case Presentation: We presented the case of a 32-year-old gravida 4 para 3+0 patient who was admitted at 39 weeks and 4 days of amenorrhea and had a history of three prior cesarean deliveries. She underwent an elective cesarean section. A second nongravid uterus with an ipsilateral fallopian tube and ovary was incidentally observed intraoperatively. Furthermore, a contralateral fallopian tube without an ovary was noted within the same uterus. Subsequent exploration revealed that each uterus had one fallopian tube and ovary, and both uteri shared a single cervix.Conclusion: Vigilant preoperative assessment of all women scheduled for surgery is imperative to prevent such disconcerting, avoidable occurrences. |
| first_indexed | 2024-03-08T15:30:38Z |
| format | Article |
| id | doaj.art-93a0c1dddc1e49ffaf3767f3c5d62635 |
| institution | Directory Open Access Journal |
| issn | 2345-5136 2382-9990 |
| language | English |
| last_indexed | 2024-03-08T15:30:38Z |
| publishDate | 2023-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Women’s Health Bulletin |
| spelling | doaj.art-93a0c1dddc1e49ffaf3767f3c5d626352024-01-10T04:52:17ZengShiraz University of Medical SciencesWomen’s Health Bulletin2345-51362382-99902023-10-0110410.30476/whb.2023.100368.125149756Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean SectionAbdibasid Ali0Yakub Mohamud1Yakub Kune2Byonanuwe Simon3Department of Obstetrics and Gynaecology; Garissa County Referral Hospital, Garissa, KenyaDepartment of Obstetrics and Gynaecology; Garissa County Referral Hospital, Garissa, KenyaDepartment of Obstetrics and Gynaecology; Garissa County Referral Hospital, Garissa, KenyaDepartment of Obstetrics and Gynaecology, Kampala International University Western Campus, Bushenyi, UgandaIntroduction: Uterine didelphys is an exceptionally rare Müllerian duct anomaly that, when incidentally discovered, can be profoundly disconcerting for attending clinicians, patients, and their families. In this case report, we described an instance of undiagnosed uterine didelphys in a pregnant woman who was admitted at 39 weeks and 4 days of amenorrhea for her third delivery, wherein the condition was coincidentally identified during an elective cesarean section, resulting in a favorable fetal outcome.Case Presentation: We presented the case of a 32-year-old gravida 4 para 3+0 patient who was admitted at 39 weeks and 4 days of amenorrhea and had a history of three prior cesarean deliveries. She underwent an elective cesarean section. A second nongravid uterus with an ipsilateral fallopian tube and ovary was incidentally observed intraoperatively. Furthermore, a contralateral fallopian tube without an ovary was noted within the same uterus. Subsequent exploration revealed that each uterus had one fallopian tube and ovary, and both uteri shared a single cervix.Conclusion: Vigilant preoperative assessment of all women scheduled for surgery is imperative to prevent such disconcerting, avoidable occurrences.https://womenshealthbulletin.sums.ac.ir/article_49756_50fe97d9ba1ec773aea79b444ef45b9b.pdfuterusmulleriandidelphysgenital |
| spellingShingle | Abdibasid Ali Yakub Mohamud Yakub Kune Byonanuwe Simon Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section Women’s Health Bulletin uterus mullerian didelphys genital |
| title | Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section |
| title_full | Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section |
| title_fullStr | Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section |
| title_full_unstemmed | Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section |
| title_short | Uterine Didelphys in a G4P3+0: A Disturbing Phenomenon at Caesarean Section |
| title_sort | uterine didelphys in a g4p3 0 a disturbing phenomenon at caesarean section |
| topic | uterus mullerian didelphys genital |
| url | https://womenshealthbulletin.sums.ac.ir/article_49756_50fe97d9ba1ec773aea79b444ef45b9b.pdf |
| work_keys_str_mv | AT abdibasidali uterinedidelphysinag4p30adisturbingphenomenonatcaesareansection AT yakubmohamud uterinedidelphysinag4p30adisturbingphenomenonatcaesareansection AT yakubkune uterinedidelphysinag4p30adisturbingphenomenonatcaesareansection AT byonanuwesimon uterinedidelphysinag4p30adisturbingphenomenonatcaesareansection |