Uterus didelphys: a report of 26 cases.
Twenty-six female patients with uterus didelphys were observed over a period of 21 yr. All the patients also had a longitudinal vaginal septum. Dysmenorrhea, dyspareunia and leukorrhea were the most common symptoms among the symptomatic cases. Eighteen women had a total of 40 pregnancies with a fetal survival rate of 67.5%, and perinatal mortality rate of 3.6%. Premature delivery occurred in 21% of the pregnancies. Breech presentation occurred in 43% and cesarean section was performed in 82% of the cases. Of the 17 intravenous pyelograms performed six (35%) showed abnormalities and four had the absence of a kidney. Women with uterus didelphys belong to a high-risk group, although pregnancy outcome is comparatively good.
D000293:Adolescent; D000328:Adult; D004412:Dysmenorrhea / Q000209:etiology; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D007668:Kidney / Q000002:abnormalities; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities