Clinical Practice and Cases in Emergency Medicine

Introduction: Didelphys uterus, or “double uterus,” is one of the rarest Müllerian duct anomalies (MDA). Due to its rarity, data are sparse on overall outcomes associated with this congenital defect, but it may be associated with several complications, both pregnancy and non-pregnancy related.

Case Report: In this case, a pregnant 35-year-old female with vaginal bleeding was subsequently diagnosed with uterus didelphys by transvaginal ultrasound imaging.

Conclusion: Despite its rarity, clinicians should be aware of MDAs and their associated compli-cations with pregnancy.