open access
One patient with two uteri and two pregnancies — a rare case of twins in a patient with uterus didelphys
- Student’s Scientific Association at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
- 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
open access
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.
Keywords
uterus didelphys; Mullerian duct anomalies; double pregnancy; ultrasound during pregnancy
Title
One patient with two uteri and two pregnancies — a rare case of twins in a patient with uterus didelphys
Journal
Issue
Article type
Clinical vignette
Pages
905-906
Published online
2021-10-21
Page views
6100
Article views/downloads
483
DOI
Pubmed
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
- Shulman LP. Müllerian Anomalies. Clinical Obstetrics & Gynecology. 2008; 51(2): 214–222.
- Troiano R, McCarthy S. Müllerian Duct Anomalies: Imaging and Clinical Issues. Radiology. 2004; 233(1): 19–34.
- 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.