Bicornuate Uterus with Successful Term Pregnancy: A Rare Occurrence

Abstract

Background

Bicornuate uterus is a rare congenital uterine malformation and structural abnormality that affects less than 0.5% of women. Resulting pregnancies are rarely carried to term and commonly result in pregnancy complications such as spontaneous abortion, IUGR, preterm delivery, and fetal malpresentation.

Case report

This was a case of a 27-year-old patient with an undiagnosed bicornuate uterus discovered intraoperatively. There was a viable pregnancy in one of the uterine horns that was carried to term after three previous failed pregnancies. The foetus was delivered by caesarean section on account of bad obstetric history and breech presentation, weighing 2.6 kg with APGAR scores of 7 and 9 in the 1^st and 5^th minutes^, respectively.

Conclusion

A successful term pregnancy is achievable in patients with a bicornuate uterus. In resource-constrained communities, it is essential to have a high index of suspicion and make early referrals for suspected congenital uterine anomalies in patients with a history of recurrent second and third-trimester pregnancy losses. The use of imaging modalities can help diagnose and monitor suspected cases before and during pregnancy.

Keywords:

bicornuate uterus, uterine malformation, mullerian duct, breech presentation, preterm delivery

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