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Case of successfully delivered dicavitary twins in uterus didelphus
  1. Ellie Barnes1,2,
  2. Kate Walker2,3,
  3. Hazem Mohamed Sayed4 and
  4. Amanda Green3
  1. 1Medical School, University of Nottingham, Nottingham, UK
  2. 2Division of Child Health, Obstetrics and Gynaecology, School of Medicine, University of Nottingham, Nottingham, UK
  3. 3Obstetrics and Gynecology, Nottingham University Hospitals NHS Trust, Nottingham, UK
  4. 4Obstetrics and Gynecology, Royal Derby Hospital, Derby, UK
  1. Correspondence to Dr Hazem Mohamed Sayed; hazemmoneam{at}gmail.com

Abstract

Uterus didelphus is a congenital abnormality arising from failure of fusion of Mullerian ducts, creating two separate uterine horns, two cervices and, in some cases, a vagina divided by a longitudinal septum. In this case, a 26-year-old woman with previously undiagnosed uterus didelphus spontaneously conceived dicavitary twins. Although initially wanting a vaginal birth, when both twins were in a breech presentation, a caesarean section was performed at 36 weeks, delivering two healthy babies. We will discuss the risk of obstetric complications in uterus didelphus and the challenges surrounding a vaginal delivery.

  • pregnancy
  • reproductive medicine

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Footnotes

  • Contributors EB wrote the case report. KW guided EB through writing and was part of the team managing the case during her pregnancy. HMS edited, formatted and submitted the case report, and was also part of the team managing the case during her pregnancy. AG was the consultant managing the case and supervised the writing.

  • 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.

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

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