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Reminder of important clinical lesson
Case report
Successful external cephalic version in a patient with uterus didelphys and fetal malpresentation
  1. Saeid Mirzai1,
  2. Samuel Brian Wolf1,
  3. Saima Mili1 and
  4. Ahmad Oussama Rifai2
  1. 1 Alabama College of Osteopathic Medicine, Dothan, Alabama, USA
  2. 2 The Virtual Nephrologist, Inc, Lynn Haven, Florida, USA
  1. Correspondence to Saeid Mirzai; mirzais{at}acom.edu

Abstract

Müllerian anomalies are congenital malformations of the female reproductive organs that occur when the müllerian ducts develop abnormally. Different types of müllerian anomalies have different pregnancy outcomes. Breech presentation is a common occurrence in pregnant women with uterus didelphys, and caesarean section is the traditional mode of delivery under such circumstances. Here, we present the case of a 29-year-old woman (gravida 2, para 1) with her fetus in a frank breech presentation. The patient had a known history of uterus didelphys and previous vaginal delivery. She elected to undergo external cephalic version (ECV) at 37 weeks with a trial of labour at 39 weeks as opposed to planned cesarean delivery. The version was successful, and the fetus was subsequently delivered vaginally without complications. This case demonstrates ECV as a possible option in women with uterus didelphys, provided the risks of the procedure are carefully weighed and individualised to each patient.

  • obstetrics and gynaecology
  • pregnancy

http://dx.doi.org/10.1136/bcr-2019-230965

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    Footnotes

    • Contributors The authors have equally contributed to the planning, revision and submission of this case report. The patient was under the care of SBW. SMirz performed the primary literature review and gathering of data. SMirz prepared the original draft and performed major revisions. SBW, SMili and AOR aided with manuscript revisions. SBW and AOR approved of the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.