Abstract

Successful Pregnancy with Uterus Didelphys

Highlights

  • The female reproductive organs are largely derived from the two paramesonephric or mullerian ducts in fetal life which give rise to the upper third of the vagina, cervix, uterus and the fallopian tubes

  • We report 3 cases of uterus didelphys with successful pregnancy outcome

  • This presentation is termed Herlyn-WernerWunderlich syndrome (HWW) which is a rare entity with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) [6]

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Summary

Introduction

The female reproductive organs are largely derived from the two paramesonephric or mullerian ducts in fetal life which give rise to the upper third of the vagina, cervix, uterus and the fallopian tubes. Case 1: A 23 year old primigravida presented to the antenatal clinic (ANC) following a spontaneous conception (Table 1) She was investigated at 18 years of age for chronic pelvic pain and was found to have a uterus didelphys bicollis with a longitudinal vaginal septum. Case 3: A 26 year old primigravida was referred to the ANC following spontaneous conception in view of the presence of uterus didelphys (Table 1). Case 3 26 yrs Primigravida Yes Yes (unilateral agenesis) Blind ended left vagina, Normal right vagina, no obvious septum. She went on to have a second laparotomy with removal of the left uterus, cervix and the fallopian tube. The baby weighed 2988 grams, which was just above the 10th centile

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