Outflow tract obstruction of any cause--including a didelphic uterus or other uterine anomalies, vaginal septum, hematometra, renal agenesis, or imperforate hymen--is associated with extensive endometriosis that is typically reversed upon establishing a patent outflow tract.
Bicornuate uterus represents approximately one-fourth of such anomalies, whereas didelphic or "double uterus" is among the least common and represents only 8% of these anomalies [2].
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