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Uterine didelphys: diagnosis, management and pregnancy outcome
  1. Clare Margaret Crowley,
  2. Karim Botros,
  3. Ibrahim Fawzy Hegazy and
  4. Edward O'Donnell
  1. Obstetrics and Gynaecology, University Hospital Waterford, Waterford, Ireland
  1. Correspondence to Dr Clare Margaret Crowley; crowlecl{at}


This report addresses and discusses two cases of uterine didelphys in pregnancy. The first case describes the diagnosis, management and subsequent pregnancies in a 28-year-old woman, para 2, with known didelphys uterus, left-obstructed hemi-vagina and ipsilateral renal agenesis. This uterine anomaly was diagnosed at 13 years of age, after pelvic imaging identified a haematocolpos and two uteri. To drain this haematocolpos, a hymenectomy was performed. In the second case, an incidental finding of uterine didelphys and vaginal septum in a 28-year-old primigravida is described. Both patients delivered healthy male infants at term via emergency and planned lower segment caesarean sections, indicating women with major uterine anomalies can have successful obstetric outcomes.

  • obstetrics and gynaecology
  • pregnancy
  • reproductive medicine

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  • Contributors CMC wrote the report. KB obtained patient consent and critically appraised the report. IFH further evaluated the report. EOD critically appraised the report and was the primary physician to both patients.

  • 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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