Uterine didelphys with pregnancy

Case contributed by Jepchumba Tanui
Diagnosis certain

Presentation

Routine anomaly scan.

Patient Data

Age: 40 years
Gender: Female
ultrasound

There are two uterine horns visualized, as well as two separate cervices. The left horn is non-gravid with a capacity of 37 cc and a cervical length of 1.59 cm.

Single viable intrauterine fetus seen in the right horn in variable presentation with an AUA of 16 weeks 3 days and a regular fetal heart rate of 161bpm.

Fetal growth corresponds with a period of amenorrhea.

Normal fetal morphology. The placenta is fundal, well-attached, and not low-lying.

Amniotic fluid is adequate for gestation.

Cervix is closed and measures 5.3 cm in length.

Case Discussion

Uterine didelphys is as a result of Mullerian duct anomaly where there there are two separate uterine horns and two separate cervices.

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