Bicornuate uterus and obstetrical complications repeated: what’s solution for a better obstetrical prognosis into a developing country of Africa?

Charles Kakou, Idrissa Garba, Raoul Kasse, Diomandé Gondo, Koffi Soh, Roland Adjoby, Serge Boni


Author report one case of bicornuate uterus and pregnancy in a patient who had a preterm delivery in her medical history. The support for the pregnancy was a cerclage of the cervix, bi-monthly prenatal consultation, a systematic work stoppage. The removal of cerclage was conducted at 37 weeks of amenorrhea. Childbirth is done vaginally. We didn’t realize restorative surgery of the uterus before pregnancy or after. The aim of our clinical case was to clarify the therapeutic possibilities in an African developing country. Moreover, the formation of an expert team for surgery of uterine malformations should be considered in our work environment.


Bicornuate uterus, Cervical cerclage, Preterm delivery, Recurrent abortion, Surgery

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Philip CA, Rudigoz RC, Huissoud C. Retentissement obstétrical des malformations utérines. EMC Obstétrique. 2016;11(4):1-14.

Porcu G, Heckenroth H. Malformations utérines et infertilité. Encyl Med Chir, Elsevier SAS: Paris; 2005:739-A-20.

Rossier MC, Bays V, Vial Y, Achtari C. Les malformation utérines: diagnostic, pronostic et prise en charge en 2008. Rev med Suisse. 2008;4:2253-63.

Guinard E, Subtil D, Deruelle P. Congenital Müllerian anomalies and delivery: Analysis of 304 cases between 2000 and 2010 at the University Hospital of Lille. Gynécologie Obstétrique et Fertilité. 2014;42(7-8):471-6.

Fengbing Liang, Wensheng Hu. Pregnancy complications and obstetric outcomes among women with congenital uterine malformations. Int J Gynaecol Obstet. 1991;(2):159-60.

Raga F, Bauset C, Remohi J. Reproductive impact of congenital Mullerian anomalies. Hum Reprod. 1997;12:2277-81.

Deutch TD, Abuhamad AZ. The role of 3-dimensional ultrasonography and magnetic resonance imaging in the diagnosis of mullerian duct anomalies: a review of the literature. J Ultrasound Med. 2008;27(3)413-23.

Golan A, Langer R, Neuman M, Wexler S, Segev E, David MP. Obstetric outcome in women with congenital uterine malformations. J Reprod Med. 1992;37 (3):233-6.

Ludmir J, Samuels P, Brooks S, Mennuti MT. Pregnancy outcome of patients with uncorrected uterine anomalies managed in a high-risk obstetric setting. Obstet Gynecol. 1990;75(6):906-10.

Carbonne B, Revaux A. Menace d’accouchement prématuré. In Traité d’obstétrique Elsevier Masson: Paris; 2010:183-189.

Lin PC. Reproductive outcome in women with uterine anomalies. J Womens Health. 2004;13(1):33-9.

Lansac J, Lecomte P, Marret H. Malformations de l’appareil génital. In Gynécologie pour le praticien, 7th Éd. Elsevier Masson: Paris; 2007:207-219.

Ludwin A, Ludwin I, Banas T, Knafel A, Miedzyblocki M, Basta A. Diagnostic accuracy of sonohysterography, hysterosalpingography and diagnostic hysteroscopy in diagnosis of arcuate, septate and bicornuate uterus. J Obstet Gynaecol Res. 2011;37(3):178-86.

Golan A, Langer R, Wexler S, Segev E, Niv D, David MP. Cervical cerclage it is role in the pregnant anomalous uterus. Int J Fertil. 1990;35(3):164-70.

Strasmann EO. Plastic unification of double uterus: study of 123 collected and five personal cases. Am J Obstet Gynecol. 1952;66:147-50.

Teti G, Maffei S, Pippi E, Fioretti P. Reproductive capacity and outcome of pregnancy after metroplasty following the technique of Bret-Palmer partially modified in the pathological symmetric malformations of müllerian ducts. Clin Exp Obstet Gynecol. 1991;18(2):65-70.

Sinha R, Mahajan C, Hegde A, Shukla A. Laparoscopic metroplasty for bicornuate uterus. J Minim Invasive Gynecol. 2006;13(1):70-3.

Ayhan A, Yücel I, Tuncer ZS, Kişnişçi HA. Reproductive performance after conventional metroplasty: an evaluation of 102 cases. Fertil Steril. 1992;57(6):1194-6.

Alborzi S, Asadi N, Zolghadri J, Alborzi S, Alborzi M. Laparoscopic metroplasty in bicornuate and didelphic uteri. Fertil Steril. 2009;92(1):352-5.

Rechberger T, Monist M, Bartuzi A. Clinical effectiveness of Strassman operation in the treatment of bicornuate uterus. Ginekologia polska. 2009 Feb;80(2):88-92.