Preterm Delivery in a Nullipara with Urinary Tract Infection and Undiagnosed Uterine Anomaly (Uterine Didelphys): A Case Report

Abstract

Uterine didelphys is a rare congenital abnormality which results from complete failure of fusion of the Mullerian duct during embryological phase of life. In pregnancy, uterine didelphys is commonly associated with adverse foetal outcome. We report a 25 year old nullipara with previous history of miscarriages who presented at 33 weeks gestation with complaints of preterm contraction with associated urinary symptoms. She was managed for urinary tract infection in pregnancy and symptoms resolved. Obstetric scan showed normal findings with no abnormality of the uterus or adjacent structures. She subsequently had Caesarean section for nullipara breech in labour with delivery of a live baby and an incidental intra-operative finding of uterine didelphys. Mother and baby were discharged home healthy on the 4^th post-operative day and postpartum period was unremarkable. The rare incidence of this finding and the good perinatal outcome are the peculiarity of this report.