Congenital bicornuate unicollis uterus as a cause of secondary infertility: the role of imaging in the diagnosis in a low resource setting (original) (raw)
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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.
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.
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.
An unusual diagnosis of a bicornuate unicollis uterus
Gynecological Surgery, 2008
We present a case of an unusual diagnosis of a bicornuate unicollis uterus mimicking a uterus didelphys with blind hemivagina. Few cases of a bicornuate uterus have been reported with the primary symptom of a paracervical pyocolpos. The difficulties involved in the diagnosis and management of this particular congenital malformation are described in detail. The role of imaging techniques and adequate preoperative preparation is emphasised with a review of recent literature.
East African Medical Journal, 2015
Acute abdominal pain is a common complaint in the paediatric age group. Gastroenteritis and appendicitis are the common non-surgical and surgical conditions respectively. Haematometra due to a non-communicating horn of a bicornuate uterus is a rare presentation for acute abdomen in this age group. This is a case of a ten year nine month old female who presented with an acute abdomen for a period of two days. Physical examination revealed right iliac fossa tenderness. Pelvic ultrasound showed a bicornuate unicollis uterine Müllerian anomaly with unilateral haematometra. Magnetic Resonance Imaging (MRI) confirmed the ultrasonographic findings. A successful hemi-hysterectomy was done with resolution of symptoms.
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
28 years old primary infertile female, came to the obstetrician. Ultra Sound (US) was requested, showed that there is abnormal shape of the uterus.
Medical journal of Zambia, 2022
A bi-cornuate uterus is a congenital abnormality that results from the incomplete lateral fusion of the two Müllerian ducts. The WHO eligibility criteria for contraceptive use, states that the use of intrauterine devices (IUCDs) is contraindicated for women with uterine abnormalities. However, in most cases, the presence of the bi-cornuate uterus is not known at the time of IUCD insertion. We herein report a case of a 41-year-old woman who had a bi-cornuate uterus with an IUCD in situ in the left horn and a live pregnancy in the right horn. The aim of this case report is to highlight the important role ultrasound imaging can play in the diagnosis of congenital uterine abnormalities in patients using IUCDs. Furthermore, the report also discusses the ultrasound imaging techniques that a diagnostician can adopt to optimize the diagnosis.