DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20183816

Uncomplicated post-dated pregnancy in one horn of bicornis bicollis uterus

Preet Kamal Bedi, Arunima Saini, Nisha Bhagat

Abstract


Mullerian anomalies result from abnormal fusion of mullerian ducts (paramesonephric ducts). The prevalence of       1-10% is seen in general population. Patients with uterine anomalies have chances of infertility, miscarriage, preterm labor, cervical incompetence and are an independent risk factor for uterine rupture. Just a few pregnancies are carried forward till term without any maternal and fetal complications. Here we report a rare case of bicornuate uterus bicollis that successfully conceived, carried her pregnancy beyond her expected date of delivery (4 days overdue) and delivered a full-term baby without any significant complications.


Keywords


Bicornuate uterus bicollis, Mullerian anomaly

Full Text:

PDF

References


Adeyemi AS, Atanda OO, Adekunle AD. Successful pregnancy in one horn of a bicornuate uterus. Annals of African medicine. 2013;12(4):252.

Raga F, Bauset C, Remohi J, Bonilla-Musoles F, Simón C, Pellicer A. Reproductive impact of congenital Müllerian anomalies. Hum Reprod (Oxford, England). 1997;12(10):2277-81.

Nahum GG. Uterine anomalies. How common are they, and what is their distribution among subtypes?. J Reprod Med. 1998;43(10):877-87.

Jayaprakash S, Muralidhar L, Sampathkumar G, Sexsena R. Rupture of bicornuate uterus. BMJ Case Reports. 2011; 2011(10):1-4.

The American fertility society classifications of adnexal adhesions, distal tubal obstruction, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944-55.

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

Nitzsche B, Dwiggins M, Catt S. Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term. Case Reports Women's Health. 2017;15:1-2.

Dohbit JS, Meka E, Tochie JN, Kamla I, Mwadjie D, Foumane P. A case report of bicornis bicollis uterus with unilateral cervical atresia: an unusual aetiology of chronic debilitating pelvic pain in a Cameroonian teenager. BMC Women's Health. 2017;17(1):39.

Marshall GB. Case of Uterus Bicornis Bicollis; Six Months' Pregnancy Right Horn, Pyometra Left Horn. BJOG: Int J Obstet Gynaecol. 1914;25(4):197-200.

Martı́nez-Frı́as ML, Bermejo E, Rodrı́guez-Pinilla E, Frı́as JL. Congenital anomalies in the offspring of mothers with a bicornuate uterus. Pediatrics. 1998 Apr 1;101(4):e10.

Winter RM, Dearlove J, Jolly H, Pawson N, Wilson RG. Apparent microcephaly caused by a bicornuate uterus. Br Med J (Clin Res Ed). 1983;286(6378):1640-1.

Raga F, Bonilla-Musoles F, Blanes J, Osborne NG. Congenital Müllerian anomalies: diagnostic accuracy of three-dimensional ultrasound. Fertil Steril. 1996;65(3):523-8.

Braun P, Grau FV, Pons RM, Enguix DP. Is hysterosalpingography able to diagnose all uterine malformations correctly? A retrospective study. Eur J Radiol. 2005;53(2):274-9.

Kruger TF, Matsaseng T. Laparoscopic Strassman's metroplasty for bicornuate uterus-is it relevant?: case report. South Afr J Obstet Gynaecol. 2012;18(3):85-7.

Suhail MF, Khan H, Suhail S. Congenital uterine anomaly: Pregnancy in a woman with bicornis bicollis uterus. Indian J Practising Doctor. 2008;(5)1:3-4.