A CASE OF BICORNUATE UTERUS (original) (raw)
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Incidental Diagnosis of Bicornuate Uterus in a Lady of 48 Years - A Case Report
Delta Medical College Journal, 2022
Congenital anomalies of uterus are not very uncommon. Quite a number of women with these anomalies can be totally asymptomatic. In some women, anomalies may be first detected during pregnancy or delivery. Here a case of incidentally diagnosed bicornuate uterus is reported in a lady of 48 years while being treated for breast carcinoma.
Bicornuate Uterus-A Case Report And Literature Review
Highland Medical Research Journal, 2008
A 33-year-old lady G 3 P 2 L 2 with 20 weeks gestation came for her first antenatal checkup. Her first delivery was a normal vaginal delivery at term with growth restricted female baby weighing 2 kg and is now alive and healthy. Second was a caesarean section for breech, oligohydramnios, intrauterine growth restriction (IUGR). She delivered a female child weighing 1.75 kg, alive and healthy. Third is present pregnancy. Targeted imaging for fetal anomalies was done at 20 weeks, which showed a SLF of 20 w 6 d gestational age with no fetal structural abnormality. USG was repeated at 30 weeks as the height of uterus was less than a period of gestation and uterus appeared deviated to the right. USG showed a SLF of 30 w 2 d gestation in bicornuate uterus in breech presentation with AFI 7 and EF 1200 g. Doppler's study revealed head sparing wave form in fetal middle cerebral artery, high resistance flow pattern and mid diastolic notching in left uterine artery. Doppler wave form in right uterine artery normal, utero placental insufficiency. USG repeated 2 weeks later in view of absent fetal heart which showed intrauterine fetal demise with Spalding sign. Patient went into spontaneous labor 2 days later. Before going into active labor she developed vaginal bleeding. Screening USG showed abruptio placenta with retroplacental clots and repeat emergency lower
Successful outcome of pregnancy in bicornuate uterus: a case report
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019
Bicornuate uterus is a major cause of spontaneous abortion. The recurrent pregnancy loss has been reported to the range of 15% to 27%. There is different type of congenital uterine abnormalities like Bicornuate uterus, septate uterus, arcuate uterus, unicornuate uterus, didelphys uterus. It is important to consider this diagnosis in recurrent miscarriages, malpresentation, intra uterine growth restrictionand preterm deliveries. This report is about self at the age of 25-year-old pregnancy with a history of missed abortion. I was not diagnosing with a bicornuate uterus in my first pregnancy. However, I was diagnosed with a bicornuate uterus based on transvaginal ultrasound and hysterosalpingogram. A successful caesarean section was donein the 38th week of gestation. According to the results, successful outcome could be achieved with bicornuate uterus. The outcome of bicornuate uterus was successful.
Pregnancy in bicornuate uterus
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
The incidence of the uterine malformations is estimated to be 3% to 5% in the general population. Abnormal fusion of the mesonephric duct (Mullerian duct) during embryonic life results in a variety of congenital uterine malformations like septate uterus, unicornuate uterus, and bicornuate uterus. Fertility and evolution of pregnancy depends on the type of uterine anomaly. Many of them are asymptomatic but it is important to consider this diagnosis in recurrent miscarriages, preterm labours, malpresentations, and intrauterine growth restrictions. We are presenting a 22-years-old pregnant woman with a history of abortion. The patient was not diagnosed with a bicornuate uterus in her first pregnancy. However, she was diagnosed with a bicornuate uterus based on the findings of ultrasound in the present pregnancy. A successful caesarean section was performed on the subject in the 39th week of gestation. According to the results, successful outcome could be achieved in patients with bicor...
Bicornuate Uterus with Successful Pregnancy Outcome
The prevalence of uterine malformations in general population is around 7-8% 1 . Abnormal fusion of mullerian ducts in embryonic life results in a variety of malformations. Here we report a case of bicornuate uterus where pregnancy was carried till 38weeks with good outcome. Initially diagnosis was made by Ultrasound, which was confirmed intra operatively by exteriorizing the uterus.
Bicornuate uterus and pregnancy; ambiguity diagnosis: a case report
The Pan African medical journal, 2022
The frequency of uterine malformations is estimated in the general population to be between 1 and 4%. The bicornuate uterus accounts for about half of uterine abnormalities. The conception of a pregnancy and its evolution to term on this uterine abnormality is rare. During pregnancy, this malformation is asymptomatic and may go unnoticed in the absence of prenatal care. Ultrasound is essential for the diagnosis, which is often difficult in an environment of socioeconomic precariousness and low technical facilities. We present the diagnostic difficulties, the therapeutic aspects and the obstetric prognosis of an unusual case of a unicervical bicornuate uterus revealed during a laparotomy which is both exploratory and diagnostic. Treatment consisted of close monitoring until 38 weeks when the patient underwent a scheduled cesarean section.
Congenital Anomalies in the Offspring of Mothers With a Bicornuate Uterus
PEDIATRICS, 1998
Background. Most of the reports on mothers with bicornuate uterus analyze fertility, reproductive capacity, and pregnancy outcomes. Very few of them, however, mention the risk for congenital anomalies in their offspring. Further, to our knowledge, no epidemiologic studies estimating the risk for congenital defects and analyzing the type of anomalies observed in infants born to mothers with bicornuate uterus have been reported. Methods. Using a case-control study series, we estimated the risk of congenital anomalies in the offspring of women with a bicornuate uterus. To identify the specific defects associated with the presence of a bicornuate uterus in the mother, we analyzed 26 945 consecutive malformed infants from the Spanish Collaborative Study of Congenital Malformations and assessed the frequency of congenital anomalies in the offspring of mothers with a bicornuate uterus and in those born to mothers with a normal uterus. We then calculated the relative frequency, which is the quotient of the frequency of the individual defects in each group. This figure expresses the times each congenital defect is more frequent in infants of mothers with a bicornuate uterus than in those born to mothers with a normal uterus. Results. Offspring of mothers with a bicornuate uterus had a risk for congenital defects four times higher than infants born to women with a normal uterus. The risk was statistically significant for some specific defects such as nasal hypoplasia, omphalocele, limb deficiencies, teratomas, and acardia-anencephaly. Conclusions. Offspring of mothers with bicornuate uterus are not only at high risk for deformations and disruptions, but also for some type of malformations.
https://www.ijhsr.org/IJHSR\_Vol.10\_Issue.12\_Dec2020/IJHSR\_Abstract.038.html, 2020
Abnormal fusion of the mesonephric duct (mullerian duct) during embryonic life results in a variety of congenital uterine malformations like septate uterus, unicornuate uterus, bicornuate uterus and uterine didelphys. Bicornuate uterus results from incomplete fusion of the utero-vaginal horns at the level of the fundus. About 15%-25% of women with uterine anomalies have problem with fertility and reproduction. Reproductive outcomes of uterine anomalies can be improved with better management. Radiodiagnostic imaging such as Ultrasonography, Hysterosalpingography (HSG) and Magnetic Resonance Imaging (MRI) makes accurate detection of these anomalies possible. The first case is AI, a 35 year old P1 + 5 1 alive woman, last child birth 14 years ago who presented with the history of recurrent pregnancy loss. Hysterosalpingography revealed bicornuate uterus with widely separated uterine horns down to a variable distance in the cervical canal and an intercornual distance of 10cm. The second case is HP, a 27 year old nullipara married for 5 years with history of recurrent pregnancy loss. Hysterosalpingography demonstrated a bicornuate uterus with separated horn down to the lower uterine segment and intercornual distance of 6.1cm.
Congenital Uterine Anomaly: Successful Pregnancy Outcome in Bicornuate Uterus
IOSR Journal of Pharmacy (IOSRPHR), 2012
We report a case of persistent breech presentation in a primigravida with bicornuate uterus that was initially diagnosed by early ultrasound scan. Persistent breech presentation later in the pregnancy necessitated an elective caesarean section at term. The diagnosis was confirmed intraoperatively by exteriorizing the uterus. The literature regarding bicornuate uterus was reviewed.
International Journal of Scientific Reports, 2016
Variety of congenital uterine anomalies occurs as a result of abnormal fusion of the mullerian duct during embryonic life. Bicornuate unicollis-one of such anomalies is associated with infertility, repeated spontaneous abortions, intrauterine growth retardation and preterm labor among others. We report a case of a 34-year old female para 2+4 A 1 with habitual abortion in secondary infertility due to bicornuate unicollis uterus that was diagnosed using hysterosalpingography (HSG) and ultrasonography. Uterine anomalies although rare are not uncommon. Imaging such as ultrasonography and HSG plays a pivotal role in the early detection of these anomalies.