Uterine anomalies account for about 4% in the most sampled population. Here we report a case of a 35 years old woman with occasional complaint of suprapelvic “heaviness”. She had an abnormal menstrual circle for the last 6 years. Manual palpitations were unrevealing and she appeared externally healthy. HSG was earlier performed as part of a fertility intervention (wrongly concluding on a detached form of pedunculated-myoma). Ultrasound revealed 2 separated fundal-cones, uterine cavities and a single inferior cervix. Cyesis in the bicornuate uterus is usually high-risk, making patients with uterine anomalies prone to proven misdiagnosis (e.g. appendicitis) and infertility. In addition, sonar further showed bilateral ovarian torsion. Corrective surgery was done in a hospital; post surgical healing was normal and uneventful.
References
[1]
Cunningham, F.G., Leveno, K.J., Bloom, S.L., Hauth, J.C., Rose, D.J. and Spong, C.Y. (2010) Reproductive Tract Abnormalities. In: Cunningham, F.G., Ed., Williams Obstetrics, 23rd Edition, McGraw Hill, New York, 895-896.
[2]
Suwal, A. and Kumar, A. (2010) Complete Bicornuate Uterus with Complete Longitudinal Vaginal Septum. Journal of Nepal Medical Association, 49, 243-246.
[3]
Singh, N., Singh, U. and Verma, M.L. (2013) Ruptured Bicornuate Uterus Mimicking Ectopic Pregnancy: A Case Report. Journal of Obstetrics and Gynaecology Research, 39, 364-366. https://doi.org/10.1111/j.1447-0756.2012.01914.x
[4]
Kumar, S., Singh, S.K., Mavuduru, R., Naveen, A., Agarwal, M.M., Vanita, J., et al. (2008) Bicornuate Uterine Horns with Complete Cervical-Vaginal Agenesis and Congenital Vesico-Uterine Fistula. International Urogynecology Journal and Pelvic Floor Dysfunc-tion, 19, 739-741. https://doi.org/10.1007/s00192-007-0507-5
[5]
Nahum, G.G. (1998) Uterine Anomalies. How Common Are They, and What Is Their Distribution among Subtypes? Journal of Reproductive Medicine, 43, 877-887.
[6]
Speroff, L. and Fritz, M.A. (2005) Clinical Gynecologic Endocrinology and Infertility. 7th Edition, Lippincott Williams & Wilvins, Philadelphia.
[7]
Heinonen, P.K. (2000) Clinical Implications of the Didelphic Uterus: Long Term Fol-low-Up of 49 Cases. European Journal of Obstetrics and Gynecology and Reproductive Biology, 91, 183-190. https://doi.org/10.1016/S0301-2115(99)00259-6
[8]
Tufail, A. and Hasmi, H.A. (2007) Ruptured Ectopic Pregnancy in a Rudimentary Horn of the Uterus. Journal of College of Physicians and Surgeons Pakistan, 17, 105-106.
[9]
Woelfer, B., Salim, R. and Jurkovic, D. (2001) Reproductive Outcomes in Women with Congenital Uterine Anomalies Detected by Three-Dimensional Ultrasound Screening. Obstetrics & Gynecology, 98, 1099-1103.
[10]
Zhang, Y., Zhao, Y. and Qiao, J. (2010) Obstetric Outcome of Women with Uterine Anomalies in China. Chinese Medical Journal, 123, 418-422.
[11]
Ahmad, F.K., Sherman, S.J. and Hagglund, K.H. (2000) Twin Gestation in a Woman with a Uterus Didelphys. A Case Report. The Journal of Reproductive Medicine, 45, 357-359.
[12]
Reichman, D., Lauger, M.R. and Robinson, B.K. (2009) Pregnancy Outcomes in Unicor-nuate Uteri: A Review. Fertility and Sterility, 91, 1886-1894.
[13]
Akar, M.E., Bayer, D., Yildiz, S., et al. (2005) Reproductive Outcome of Women with Unicornuate Uterus. Australian and New Zealand Journal of Obstetrics and Gynaecology, 45, 148-150. https://doi.org/10.1111/j.1479-828X.2005.00346.x
[14]
Rackow, B.W. and Arici, A. (2007) Reproductive Performance of Women with Müllerian anomalies. Current Opinion in Obstetrics & Gynecology, 19, 229-237.
https://doi.org/10.1097/GCO.0b013e32814b0649
[15]
Jayasinghe, Y., Rane, A. and Staleuki, H. (2005) The Presentation and the Early Diagnosis of a Rudimentary Horn. Obstetrics & Gynecology, 105, 1456-1467.
https://doi.org/10.1097/01.AOG.0000161321.94364.56
[16]
Ribeiro, S.C., Yamakami, L.Y., Tormena, R.A., et al. (2010) Septate Uterus with Cervical Duplication and Longitudinal Vaginal Septum. Revista Da Associacao Medica Brasileira, 56, 254-256. https://doi.org/10.1590/S0104-42302010000200029
[17]
Reuter, K.L., Daly, D.C. and Cohen, S.M. (1989) Septate versus Bicornuate Uteri: Errors in Imaging Diagnosis. Radiology, 172, 749-752.
https://doi.org/10.1148/radiology.172.3.2528160
[18]
Zwiebel, W.J. (1983) Pelvic Congenital Anomalies and Pubertal Disorders. In: Zwiebel, W.J., Ed., Introduction to Ultrasound, Saunders, Philadelphia, 294-296.
[19]
Troiano, R.N. and McCarthy, S.M. (2004) Müllerian Duct Anomalies: Imaging and Clinical Issues. Radiology, 233, 19-34.
[20]
Afodun, A.M., Ayinde, T.O., Quadri, K.K. and Masud, M.A. (2015) Concise Human Chorionic Atlas (Ultrasound, Gross, Histopathologic and Eponymical Approach). 1st Edition (Organ-Series), Xlibris Publishers, 50 p.
https://www.xlibris.com/Bookstore/BookDetail.aspx?BookId=SKU-001001968
