Abstract

Abstract Background: Caudal duplication syndrome is a rare entity characterized by complete duplication of the genitourinary system and hindgut structures. There have been 13 case reports of women with genitourinary duplication; only 3 had complete caudal duplication and only 1 had a successful term pregnancy. There are no case reports to date of patients having more than 1 successful pregnancy with this syndrome. Case: A 28-year-old multiparous woman with known caudal duplication syndrome presented with recurrent urinary tract infections and hydronephrosis. This patient was interested in having a unification of her two vaginas. An examination under anesthesia revealed two gluteal clefts, three labia minora, two vaginas widely separated by >4 cm, a bifid clitoris, two normal cervices, two urethras, a right perforate anus, and a left imperforate anus. Exploratory laparotomy revealed uterine didelphys, 2 bladders, 2 ureters, and 2 kidneys. Results: Excision of the left bladder and ureteral reimplantation re...

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