Pregnancy in uterus didelphys

Abstract

A case of uterus didelphys with complete septate vagina is reported in which pregnancy occurring in one uterus was terminated by cesarean section because of dystocia. The dystocia was brought about by inability to dislodge the nonpregnant uterus which blocked the inlet to the pelvis.Pregnancy may have occurred as a result of internal migration of the spermatozoa. This presumption is based on the fact that pregnancy occurred in the right uterus while coitus was obviously possible only in the left vagina, there being no demonstrable communication between the two vaginas. It is, of course, possible that external migration of the sperm from the left to the right vagina may have occurred.Vaginitis, resulting from trichomonas infestation, was a complicating factor during the postoperative period. It was very resistant to treatment until measures were taken to insure that not only the insufflation carried out in the clinic but the patient's self-treatment at home was directed simultaneously to both vaginal cavities.