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A unique medical situation, with only six known cases in the entire scholarly literature. A 24-year-old lady gave birth to fraternal twins who grew up in separate uteruses at the University Hospital of Padua's Neonatal Department. Manar Ismaili, a young Egyptian woman, came to the hospital with her husband, Abdelrahman, in the early weeks of her pregnancy. The woman's unique anatomy contributed to a rare congenital abnormality known as a bicornuate-bicolle uterus (found in only 0.4% of the female population). Her abdomen contained two independent uterine chambers, each with its own cervix. What was truly remarkable was that the young woman experienced a spontaneous pregnancy, with one embryo implanted and growing normally in each uterus, with an estimated incidence of one in a million. Dr. Paola Veronese, head of the Obstetrics and Gynecology Unit, noted that the medical management was complicated: the organs were smaller than normal and less elastic, putting the pregnancy at risk, which was exacerbated by the mother's type 1 diabetes. The woman reached the thirtieth week of her pregnancy while being constantly monitored. Due to the baby's sac rupture, the surgeons performed a double cesarean surgery, safely delivering first the 1.930 kg baby and then his 1.590 kg sister, both in excellent health.
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