A Rare Case of Uterus Didelphys with Vaginal Delivery in One Horn and Caesarean Section in Other Horn

Abstract

Uterus didelphys, also known as a duplicated uterus with one vagina, is an embryological abnormality resulting from complete failure of fusion of the Mullerian ducts. We present the case of a young woman who had uterus didelphys with 8 months pregnancy, one in each horn. She was an unbooked case and the diagnosis of uterine didelphys was made Intra-operatively only. On admission abdomen was abnormally distended with a central slit like depression, on per speculum examination cervix was fully dilated and vertex was at +1 station. First baby delivered vaginally immediately after admission and the second baby was delivered by caesarean section due to confusion in the diagnosis and abnormal progress of labour. Patient was shifted to OT where on laparotomy a confirmed diagnosis of uterus didelphys was made.