Twin gestation in a woman with a uterus didelphys - A case report

BACKGROUND: Twin gestation in a uterus didelphys is a rare condition, and t he preferred labor course for these patients is unclear. CASE: A woman with a uterus didelphys presented at 14 weeks' gestational ag e. Serial ultrasound examinations demonstrated normally growing, diamniotic , dichorionic twins situated one in each uterine horn. The prenatal course was marked by intrauterine growth retardation, elevated liver functions and significant proteinuria. At 31 weeks' gestation, labor was induced; howeve r, due to chorioamnionitis and arrest of cervical dilatation, cesarean sect ion was performed 23 hours after rupture of membranes, and two viable femal e infants (1,480 and 1,421 g) were delivered. CONCLUSION: Twin gestation in a uterus didelphys is a rare condition, in wh ich a trial of labor may be offered, with careful monitoring of both fetuse s.