Undiagnosed Uterine Didelphys in a Multiparous Somali Woman with Two Previous Cesarean Sections

Abstract

Adil Barut, Umut Erkok, Safia Ahmed Hussein Obstetrics and Gynecology Department, Somalia Mogadishu Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, SomaliaCorrespondence: Adil Barut, Obstetrics and Gynecology Department, Somali Mogadishu Turkey Recep Tayyip Erdoğan Research and Training Hospital, Mogadishu, Somalia, Email [email protected]: Uterine didelphys (UD) develops from failure of fusion of the paired Müllerian ducts, resulting in two noncommunicating uteri. We present a 31-year-old pregnant woman whose UD anomaly had not been detected during two previous cesarean sections and her presentation to a health-care clinic for her fifth pregnancy.Case Presentation: She was referred to our obstetrics clinic due to suspicion of abdominal pregnancy and a complaint of severe lower abdominal pain. On ultrasonography, UD was detected with two adjacent uteri, one of which was empty and the other with a fetus of approximately 1100 g at 28 weeks and 1 day of gestational age. Magnetic resonance imaging confirmed the presence of UD. Due to severe lower abdominal pain of the patient and severe oligohydramnios of the fetus, emergency cesarean section was performed, and a 980 g male baby was delivered.Conclusion: This case exemplifies how difficult life is for women living in an underdeveloped and resource-limited country like Somalia.Keywords: uterine didelphys, pregnancy, cesarean section

Keywords

• uterine didelphys
• pregnancy
• cesarean section