Uterus didelphys, also known as a duplicated uterus, is an embryological abnormality resulting from the failure of fusion of the Mullerian ducts, causing full uterine development to erroneously occur bilaterally. The occurrence of uterus didelphys is very low in the general population and often predisposes women to a variety of gynecological difficulties. There appears to be a high association with obstetrical complications, such as spontaneous abortion, preterm labor, cervical incompetence, and malpresentation. Uterus didelphys is also associated with urinary tract abnormalities. Presented is a case of a woman with a didelphys uterus and a twin pregnancy.
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