{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:21:29Z","timestamp":1769127689020,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Uterine didelphys, also known as double uterus, is a congenital anomaly of the female reproductive system that can be associated with a significant number of threatening obstetric complications, such as uterine rupture. We report a rare and complex case of an 18\u2010year\u2010old primigravida who presented with uterine rupture due to uterine didelphys at 18\u2009weeks of gestation. Patient had no prior medical or gynecological history. Physical examination revealed a diffusely distended and tender abdomen along with signs of hemodynamic instability. Ultrasound of the abdomen showed hemoperitoneum, with an intrauterine dead fetus. Second trimester intrauterine rupture was considered the initial diagnosis. After successfully resuscitating the patient, exploratory laparotomy was performed. Uterine didelphys with a right\u2010sided uterus ruptured from the fundal region along with a wide\u2010bore intestinal diverticulum was seen. After repairing the uterus in 2 layers and hemodynamically supporting the patient, retained products of conception were removed. Postoperative laboratory investigations were significant for disseminated intravascular coagulation and metabolic acidosis with respiratory compensation. These critical findings necessitated intensive care unit (ICU) admission where the patient received close monitoring, ultimately leading to stabilization of the patient. This case serves as a reminder that adolescents with Mullerian duct anomalies, even without a prior history of uterine scarring, can present with life\u2010threatening obstetric complications such as uterine rupture. Prompt recognition and timely management are essential to prevent fatal outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.71881","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:23:26Z","timestamp":1768544606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rupture of Didelphys Uterus and Coexistence of Intestinal Diverticulum in an 18\u2009Years Old Primigravida: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2676-4557","authenticated-orcid":false,"given":"Asim","family":"Ali","sequence":"first","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3536-0044","authenticated-orcid":false,"given":"Maryam","family":"Ilyas","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7357-1977","authenticated-orcid":false,"given":"Ali","family":"Gohar","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7648-3352","authenticated-orcid":false,"given":"Nadeem","family":"Yousaf","sequence":"additional","affiliation":[{"name":"Guilin Medical University  Guilin Guangxi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8599-6861","authenticated-orcid":false,"given":"Masab","family":"Ali","sequence":"additional","affiliation":[{"name":"Punjab Medical College  Faislabad Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2015-6985","authenticated-orcid":false,"given":"Usama","family":"Rafiq","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5248-0749","authenticated-orcid":false,"given":"Muhammad Husnain","family":"Ahmad","sequence":"additional","affiliation":[{"name":"St. Tentishev Asian Medical Institute  Kant Kyrgyzstan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6892-8736","authenticated-orcid":false,"given":"Abdul","family":"Rehman","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/865821"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/99354802"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2021.04.013"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1515\/crpm\u20102021\u20100078"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crwh.2020.e00199"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr028"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050313X211072967"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S447864"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010006\u20101155"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20221959"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404\u2010017\u20104522\u20106"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/jhrs.jhrs_3_21"},{"key":"e_1_2_14_14_1","first-page":"62","article-title":"An Analysis of the Role of Uterine Malformations in Primary Infertility\u2014An Observational Study","volume":"16","author":"Jayashree A.","year":"2015","journal-title":"International Journal of Current Research and Review"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/GMIT.GMIT_13_19"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-0528.2003.01173.x"},{"key":"e_1_2_14_17_1","first-page":"519","article-title":"Triplet Pregnancy in Uterus Didelphys With Delivery Interval of 72\u2009Days","volume":"58","author":"Mashiach S.","year":"1981","journal-title":"Obstetrics and Gynecology"},{"key":"e_1_2_14_18_1","first-page":"418","article-title":"Obstetric Outcome of Women With Uterine Anomalies in China","volume":"123","author":"Zhang Y.","year":"2010","journal-title":"Chinese Medical Journal"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256\u2010020\u201002506\u20106"}],"container-title":["Clinical Case 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