Case of successfully delivered dicavitary twins in uterus didelphus

Barnes, Ellie; Walker, Kate; Sayed, Hazem Mohamed; Green, Amanda

Abstract

Uterus didelphus is a congenital abnormality arising from failure of fusion of Mullerian ducts, creating two separate uterine horns, two cervices and, in some cases, a vagina divided by a longitudinal septum. In this case, a 26-year-old woman with previously undiagnosed uterus didelphus spontaneously conceived dicavitary twins. Although initially wanting a vaginal birth, when both twins were in a breech presentation, a caesarean section was performed at 36 weeks, delivering two healthy babies. We will discuss the risk of obstetric complications in uterus didelphus and the challenges surrounding a vaginal delivery.

Citation

Barnes, E., Walker, K., Sayed, H. M., & Green, A. (2021). Case of successfully delivered dicavitary twins in uterus didelphus. BMJ Case Reports, 14(11), e245139. https://doi.org/10.1136/bcr-2021-245139

• Journal Article Type: Article
• Acceptance Date: Oct 15, 2021
• Online Publication Date: Nov 15, 2021
• Publication Date: Nov 15, 2021
• Deposit Date: Jan 6, 2022
• Publicly Available Date: May 16, 2022
• Journal: BMJ Case Reports
• Electronic ISSN: 1757-790X
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 14
• Issue: 11
• Pages: e245139
• DOI: https://doi.org/10.1136/bcr-2021-245139
• Keywords: General Medicine
• Public URL: https://nottingham-repository.worktribe.com/output/7167970
• Publisher URL: https://casereports.bmj.com/content/14/11/e245139
• Additional Information: © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.