8th Term pregnancy in uterus didelphys: a rare case report

Abstract

Abstract Introduction Uterus didelphys is a rarely observed Müllerian duct fusion defect. Two separately developing Müllerian ducts create two hemi uteri with separate fallopian tube, ovary and cervix which may cause obstetric complications. This case report presents a case reaching term for the 8th time, with eight live births discussed in view of the literature. Presentation of case A 38-year-old, gravid 9 para 7 abortion 1, pregnant woman applied to the hospital with breech presentation after unsuccessful home birth attempt. As a result of the indications of acute fetal distress, meconium in amniotic fluid and breech presentation emergency cesarean section was performed. A 2800 g, 49 cm long with 33 cm head circumference female infant was born with 1st min Apgar score of 6 and 5th min Apgar score of 8. During the operation it was observed that the patient had uterus didelphys with each hemi uterus having its own fallopian tube and ovary. After the operation vaginal speculum examination identified two cervices. The patient’s other seven births were homebirth and seven children were healthy and alive. Discussion It is rare for pregnancies in uterus didelphys cases to reach term. Due to the frequency of obstetric complications and negative pregnancy results, close monitoring is required before and during pregnancy.