Reproductive (male & female)

Description:

A uterus didelphys is a double uterus sometimes associated with a double cervix. In approximately 75% of cases, a thin wall separates the vagina into two parts as well

In pregnancy a bifid uterus may not enlarge normally and lead to fetal loss, or a normal vaginal delivery may not be possible with a double cervix or vagina.

Pathogenesis

Incomplete fusion of the paramesonephric ducts results in the most common types of uterine malformation that occur in 1-5% of women. The appearance is that of two unicornuate uteri.

Located around the areola there is a circular plexus of veins. They drain the adipose and glandular tissue and possess unnamed communicating branches within the network. These will eventually drain into the three primary veins in the region: axillary, intercostal and internal thoracic veins.