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While uterine leiomyomas are prevalent reproductive pathologies, the coexistence of M\u00fcllerian anomalies and leiomyomas is relatively uncommon. This case study examines the complex medical and surgical management of a woman who initially presented with chronic abdominal pain and swelling. Following evaluation, the patient received a diagnosis of an uncommon co\u2010occurrence of congenital uterus didelphys and leiomyomas. Notably, during the surgical procedure, a rectovesical peritoneal band was identified. This case study seeks to broaden the scientific understanding of these subsets of women, offering insights into the complexities arising from a common diagnosis overlaying a rare condition.<\/jats:p>","DOI":"10.1155\/crog\/6231298","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T04:23:45Z","timestamp":1737433425000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complex Presentation of Uterus Didelphys With Bilateral Leiomyomas: A Case Report"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5597-9119","authenticated-orcid":false,"given":"Assaye Mezgebu","family":"Wube","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6564-2811","authenticated-orcid":false,"given":"Yusuf Mohammed","family":"Yusuf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5189-3515","authenticated-orcid":false,"given":"Biniyam Afework","family":"Abate","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7722-7363","authenticated-orcid":false,"given":"Meksud Shemsu","family":"Hussen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6032-4061","authenticated-orcid":false,"given":"Yabets Tesfaye","family":"Kebede","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7784-913X","authenticated-orcid":false,"given":"Bekri Delil","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/99354802"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191710571"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.09.025"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1933719111432867"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.humrep.a019588"},{"key":"e_1_2_12_6_2","first-page":"877","article-title":"Uterine anomalies. 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