Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise
from abnormal embryological development of the Mullerian ducts. A didelphys uterus, also
known as a "double uterus," is one of the least common amongst the MDAs. Reported here
is a case of a 16 year old female with a uterus didelphys with the obstructed left hemiuteri
adherent in the anterior abdominal wall, and an endometriotic cyst on the same side. She
underwent hysteroscopy-guided vaginoscopy, laparoscopic left hemihysterectomy, left
oophorocystectomy. Cases such as these require careful preoperative planning and
diagnostic imaging for more accurate diagnosis and, hence, for the most appropriate surgical
procedure to be carried out. 3D ultrasonography and Magnetic Resonance Imaging have
been the most widely used imaging techniques. The goals of management are to relieve the
symptoms of obstruction and to restore the normal anatomy as much as possible in order to
provide the best chance for future fertility.
Uterine Didelphys