open access

Vol 92, No 12 (2021)
Clinical vignette
Published online: 2021-10-21
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One patient with two uteri and two pregnancies — a rare case of twins in a patient with uterus didelphys

Ksawery M. Golawski1, Michal Lipa2, Robert Brawura-Biskupski-Samaha2, Iwona Szymusik2, Miroslaw Wielgos2
DOI: 10.5603/GP.a2021.0193
·
Pubmed: 35014017
·
Ginekol Pol 2021;92(12):905-906.
Affiliations
  1. Student’s Scientific Association at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
  2. 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland

open access

Vol 92, No 12 (2021)
CLINICAL VIGNETTES
Published online: 2021-10-21

Abstract

We report an extraordinary case of double pregnancy in patient with uterus didelphys. This anatomic anomaly originates from the lack of fusion of the paired Mullerian ducts during embryological development with 0.3% prevalence in the population. The patient presented to our department with initial diagnosis which was confirmed during ultrasound examination at 12 weeks – uterus didelphys with dichorionic diamniotic twin gestation. Further ultrasound scans were performed every 4 weeks and revealed small for gestational age fetuses. Due to the uterine malformation and the history of cesarean section, the patient was qualified for an elective cesarean section at 36 weeks of gestation – two premature neonates were delivered in good general conditions.

Abstract

We report an extraordinary case of double pregnancy in patient with uterus didelphys. This anatomic anomaly originates from the lack of fusion of the paired Mullerian ducts during embryological development with 0.3% prevalence in the population. The patient presented to our department with initial diagnosis which was confirmed during ultrasound examination at 12 weeks – uterus didelphys with dichorionic diamniotic twin gestation. Further ultrasound scans were performed every 4 weeks and revealed small for gestational age fetuses. Due to the uterine malformation and the history of cesarean section, the patient was qualified for an elective cesarean section at 36 weeks of gestation – two premature neonates were delivered in good general conditions.

Get Citation

Keywords

uterus didelphys; Mullerian duct anomalies; double pregnancy; ultrasound during pregnancy

About this article
Title

One patient with two uteri and two pregnancies — a rare case of twins in a patient with uterus didelphys

Journal

Ginekologia Polska

Issue

Vol 92, No 12 (2021)

Article type

Clinical vignette

Pages

905-906

Published online

2021-10-21

DOI

10.5603/GP.a2021.0193

Pubmed

35014017

Bibliographic record

Ginekol Pol 2021;92(12):905-906.

Keywords

uterus didelphys
Mullerian duct anomalies
double pregnancy
ultrasound during pregnancy

Authors

Ksawery M. Golawski
Michal Lipa
Robert Brawura-Biskupski-Samaha
Iwona Szymusik
Miroslaw Wielgos

References (3)
  1. Shulman LP. Müllerian Anomalies. Clinical Obstetrics & Gynecology. 2008; 51(2): 214–222.
  2. Troiano R, McCarthy S. Müllerian Duct Anomalies: Imaging and Clinical Issues. Radiology. 2004; 233(1): 19–34.
  3. Chan YY, Jayaprakasan K, Zamora J, et al. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Human Reproduction Update. 2011; 17(6): 761–771.

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