A Pregnant Woman with Caudal Duplication Syndrome ; A Case Report

Abstract

Caudal duplication syndrome (CDS) is associated with duplications of gastrointestinal, genitourinary, and spine/spinal cord. It is rare to encounter in a single infant with all of the mentioned abnormalities, however, with duplex pelvis and both lower limbs is frequently observed. This is a very rare case within CDS cases, a pregnant woman presented at the age of 31 years for PROM related complications. On ultrasound she had SAF and PCA positive. She had breech presentation of fetus. She had placenta posterior liquor reduced. Another non-pregnant uterus was seen on right side with thickened endometrium. Her examination revealed that all her vaginal, urethral and anal orifices were functional. She had no family history of any associated disease. Her laboratory investigations were normal. She was vitally stable. Local examination revealed two sets of external genitalia, two vulva (including two urethras and two vaginas) and two anal orifices. Per abdominal examination she had fundal height of 36 cm, was longitudinal breech and positive fetal cardiac activity. Left vagina had bishop score of 4/12 and membranes absent and liquor was clear. Per operative, the baby was delivered as breech. There was a didelphys uterus and two bladders were seen.