JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Article

Journal of Clinical and Biomedical Sciences

Year: 2013, Volume: 3, Issue: 3, Pages: 143-145

Case Report

Uterus didelphys with unilateral vaginal obstruction having single pregnancy in her right horn : A case report

Abstract

Fusion of the two Mullerian ducts and establishment of vaginal canal are completed between 10th and 17th week of intra-uterine development. Sometimes, the Mullerian ducts don’t join completely. Several degrees of duplication of uterus are possible ranging from a complete duplication of uterus, cervix and vaginal canal. Instead, each one develops into a separate cavity. Some women with double uterus also have a duplicate or divided vagina. Uterus didelphys is rare and sometimes not diagnosed. It occurs in 0.1% - 0.5% healthy fertile population. Pregnancy in such a uterus causes various complications like spontaneous abortions, preterm labour, abnormal presentation and increased incidence of caesarean delivery. A 20 year old lady was admitted on 15th May 2012 in our hospital with full term pregnancy in labour. A live term female baby of weight 2,500gms was extracted out of the right uterus by LSCS. On left side, there was non-pregnant uterus which was lying posterior to pregnant uterus.

Key words: Lower segment cesarean, obstructed labour, Uterus didelphys, vaginal septum section

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