{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:09Z","timestamp":1756368609717,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,5]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>M\u00fcllerian anomalies are congenital malformations of the female reproductive organs that occur when the m\u00fcllerian ducts develop abnormally. Different types of m\u00fcllerian anomalies have different pregnancy outcomes. Breech presentation is a common occurrence in pregnant women with uterus didelphys, and caesarean section is the traditional mode of delivery under such circumstances. Here, we present the case of a 29-year-old woman (gravida 2, para 1) with her fetus in a frank breech presentation. The patient had a known history of uterus didelphys and previous vaginal delivery. She elected to undergo external cephalic version (ECV) at 37 weeks with a trial of labour at 39 weeks as opposed to planned cesarean delivery. The version was successful, and the fetus was subsequently delivered vaginally without complications. This case demonstrates ECV as a possible option in women with uterus didelphys, provided the risks of the procedure are carefully weighed and individualised to each patient.<\/jats:p>","DOI":"10.1136\/bcr-2019-230965","type":"journal-article","created":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T05:04:31Z","timestamp":1574226271000},"page":"e230965","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Successful external cephalic version in a patient with uterus didelphys and fetal malpresentation"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2579-4965","authenticated-orcid":false,"given":"Saeid","family":"Mirzai","sequence":"first","affiliation":[{"name":"Alabama College of Osteopathic Medicine, Dothan, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Brian","family":"Wolf","sequence":"additional","affiliation":[{"name":"Alabama College of Osteopathic Medicine, Dothan, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saima","family":"Mili","sequence":"additional","affiliation":[{"name":"Alabama College of Osteopathic Medicine, Dothan, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Oussama","family":"Rifai","sequence":"additional","affiliation":[{"name":"The Virtual Nephrologist, Inc, Lynn Haven, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"2025082800364657000_12.11.e230965.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2015-212977","article-title":"Successful laparoscopic transabdominal cerclage in uterus didelphys","volume":"2015","author":"Ades","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2025082800364657000_12.11.e230965.2","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2016-219149","article-title":"Vaginal birth after two previous caesarean deliveries in a patient with uterus didelphys and an interuterine septal defect","volume":"49","author":"Ng'ang'a","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2025082800364657000_12.11.e230965.3","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(84)90113-8"},{"key":"2025082800364657000_12.11.e230965.4","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/AOG.0000000000000505","article-title":"Uterine didelphys and vaginal birth after cesarean delivery","volume":"125","author":"Altwerger","year":"2015","journal-title":"Obstet Gynecol"},{"key":"2025082800364657000_12.11.e230965.5","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.847082"},{"key":"2025082800364657000_12.11.e230965.6","first-page":"659","article-title":"Uterine anomalies. frequency of diagnosis and associated obstetric complications","volume":"47","author":"Green","year":"1976","journal-title":"Obstet Gynecol"},{"key":"2025082800364657000_12.11.e230965.7","doi-asserted-by":"crossref","unstructured":"Hofmeyr GJ , Kulier R , West HM , et al . External cephalic version for breech presentation at term. 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