Uterus Didelphys: Pathophysiology, MRI Imaging Features, Diagnosis, and Clinical Management of a Rare Müllerian Duct Anomaly
Introduction Uterus didelphys is a rare congenital Müllerian duct anomaly characterized by complete duplication of the uterus and cervix , frequently accompanied by partial or complete duplication of the vagina. Although uncommon, this condition holds significant clinical importance due to its association with pelvic pain, reproductive complications, renal anomalies, and obstetric challenges . With the widespread use of high-resolution pelvic MRI , uterus didelphys is now more accurately diagnosed and distinguished from other uterine anomalies such as bicornuate uterus and septate uterus . This article provides a comprehensive, expert-level review of uterus didelphys based on the attached imaging case, integrating pathophysiology, epidemiology, clinical presentation, imaging features, differential diagnosis, diagnostic strategy, treatment, and prognosis , supported by authoritative contemporary literature. Pathophysiology of Uterus Didelphys The female reproductive tract ...