Uterus didelphys

Case contributed by Dr Kapil Sakinala

Presentation

Secondary infertility. Previously given birth to a healthy child.

Patient Data

Age: 25
Gender: Female
Ultrasound

Transabdominal

Separate divergent uterine horns with a large fundal cleft. Endometrial cavities are uniformly separate, with no evidence of communication.

Fluoroscopy

HSG

Image showing two separate endocervical canals that open into separate fusiform endometrial cavities, with no communication between the two horns. Each endometrial cavity ends in a solitary fallopian tube.

Case Discussion

From the Radiopaedia uterine didelphys article:

A uterus didelphys is a type of Müllerian duct anomaly (class III) where there is complete duplication of uterine horns as well as duplication of the cervix, with no communication between them.  

It results from failed ductal fusion that occurs between the 12th and 16th week of pregnancy and is characterized by two symmetric, widely divergent uterine horns and two cervixes. The uterine volume in each duplicated segment is reduced. As with most uterine anatomical anomalies, there is an increased incidence of fertility issues, and Müllarian abnormalities in general are over represented in infertile women. The chance of seeing a pregnancy to term is significantly reduced, down to only 20%, with a third of pregnancies ending in abortion and over half in premature deliveries. Only 40% of pregnancies resulted in living children

PlayAdd to Share

Case information

rID: 25351
Published: 21st Oct 2013
Last edited: 4th Dec 2018
System: Gynaecology
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.