Uterus didelphys

Case contributed by Dr Domenico Nicoletti


Incidental finding during MRI study.

Patient Data

Age: 36
Gender: Female


Case Discussion

Uterine malformations are found in 0.5-5 % of the general population, in 0.1-3 % of fertile women, in 3% of infertile women and in 5-10% of women who have recurrent miscarriages.

These uterine anomalies are the result of a defective fusion of the Müllerian duct in the midline or a missed or incomplete resorption of the septum that results from their merger. According to the American Fertility Society, there are seven classes of uterine malformations:

  1. bilateral Mullerian agenesis or hypoplasia
  2. uterus unicornis
  3. didelfo uterus, with two horns and two necks
  4. bicornuate uterus unicolle
  5. uterine septum
  6. arcuate uterus
  7. anomalies associated with exposure to diethylstilbestrol
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Case information

rID: 29021
Published: 27th Apr 2014
Last edited: 26th Sep 2015
System: Gynaecology
Inclusion in quiz mode: Included

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