An unusual cause of lower back pain: uterus didelphys and unilateral cervical atresia

Backache among adolescents and young women is an unusual presenting feature to the Accident and Emergency Department as well as orthopaedic clinics. Here, we present a challenging case of a mullerian duct abnormality, which collectively has an incidence of 0.0001% of the population, and how its consideration and investigation will ensure optimum management in both acute and long term.