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A case report of didelphys uterus in a primigravida AUTHOR-DR.Ayesha Aisha,3rd Year post-graduate ,department of obstetrics and gynecology,Kakatiya medical college,Warangal. GUIDE-DR.RAJESHWARI,PROFESSOR AND HOD,department of obstetrics and gynecology,Kakatiya medical college,Warangal. INTRODUCTION- Uterine didelphys is one of the rarest Mullerian duct anomaly.It results from complete lack of fusion of the mullerian ducts causing duplication of the female reproductive structures,resulting in two entirely separate hemiuteri and two cervices.It is also known as double uterus. It belongs to class III of mullerian duct anomalies(MDA),according to ASRM classification .It may be isolated or sometimes may be a part of OHVIRA(obstructed hemivagina with ipsilateral renal agenesis) also known as Herlyn Werner Wunderlich syndrome.It occurs in about 0.5 to 1% of population. Uterine anomalies are usually associated with poorer pregnancy outcomes like spontaneous abortion,preterm labor,cesarean delivery due to malpresentations compared to a normal uterus.However,the degree of these outcomes varies among different types of uterine anomalies.Unicornuate and didelphys uterus have term delivery rates of approximately 45%,untreated bicornuate and septate uterus have approximately 40% term delivery rates,arcuate uterus has approximately 65%term delivery rates. CASE REPORT A 20 year old primigravida,unbooked case at GMH, presented at 39weeks 1 day of gestation with breech presentation in labour and she subsequently had an emergency lower segment cesarean section and was incidentally found to have uterine didelphys,fetus was found in the right horn and the left horn was empty.Both the horns had adjoining normal looking fallopian tube and ovary.Her lab investigations were found to be in normal limits.She delivered a term male baby without any complications. CONCLUSION- Pregnancy in cases of uterine malformations requires early diagnosis of the anomaly,meticulous care in pregnancy and delivery to avoid adverse outcomes.Good antenatal care with adequate obstetric facility for surgical intervention can prevent complications.Uterine didelphys is a very rare mullerian duct anomaly with varying reproductive and gestational outcomes in comparison to other more common abnormalities.