Uterus Didelphys Bicollis with Uterine Myomatosis

Uterus didelphys bicollis is a congenital malformation of the female genital tract caused by the failure of the Müllerian ducts to fuse during embryonic development. It represents 5% of uterine malformations, with an estimated prevalence of 5.5 to 6.7% in the general population, 8% in women with infertility, and up to 24% in patients with a history of recurrent miscarriage. We present the case of a 34-year-old female patient with an inci-dental diagnosis of uterus didelphys bicollis and uterine myomatosis, suspected after complications with IUD insertion and a history of abnormal uterine bleeding, confirmed by ultrasound and hysterosalpingography. The presence of uterus didelphys and myo-mas is rare, with isolated reports that usually make the diagnosis in surgical settings such as cesarean section or hysterectomy. In this case, noninvasive imaging diagnosis high-lights its clinical value by guiding decision-making without resorting to surgery.