Uterine didelphys: diagnosis in late pregnancy

Abstract

Introduction: Uterus didelphys is a rare mullerian duct anomaly (MDA) and often remains undiagnosed till pregnancy or delivery. Obstetric complications can arise especially if undiagnosed in labour with malpresentation or thick inelastic vaginal septum. Some presents with dyspareunia or dysmenorrhea in the presence of a varying degree of longitudinal vaginal septum. Rarely delayed diagnosis can lead to complications that include endometriosis, adhesions, infertility, etc.