Pregnancy with Didelphys Uterus and Omphalocele Infant: A Case Report

Didelphys uterus is a congenital anomaly characterized by the failure of Mullerian duct fusion and is a rare condition. Pregnancy with didelphys uterus may cause various complications to the fetus. Abnormalities of the fetus in the form of omphalocele also become a complication in the pregnancy with didelphys uterus. This article reviews the case report of a 30-year-old female patient, G3P1102, gestational age 20 ? 21 weeks with a history of two times of caesarean section, presented with a complaint of acute abdominal pain. Initially, the patient was suspected of having an ectopic pregnancy. However, physical and ultrasonography examination revealed an abnormality of didelphys uterus with pregnancy in the right uterus. A fetal congenital anomaly of omphalocele was also found. Termination of pregnancy was not immediately carried out since there were no signs of emergency in both the mother and fetus. The patient had caesarean section delivery at 36 weeks of gestation and the infant underwent conservative treatment in an incubator according to omphalocele management. Pregnancy with didelphys uterus and omphalocele infant may increase the risk of various complications to both the mother and fetus. Therefore, antenatal screening should be performed as early as possible, especially in the first or second trimester, and is recommended to detect a congenital anomaly that may complicate pregnancy earlier.