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Submitted: 27 November 2012 Modified: 27 November 2012
HERDIN Record #: CAR-BGHMC-12112715152347

Bicornuate uterus.

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Bicornuate uterus is one of several congenital uterine
anomalies accounting for about 10-20% of mullerian anomalies.
It is a defect caused during early development that occuers
prior to birth. It will not be discovered until sometime in adult
life - or never be discovered at all if there were no reproductive
problem.

We present a case of an 18 years old, G1P1 (1-0-1) who came in
at the emergency room due to labor pains whoich started 6
hours prior to admission. Pelvic examination showed a gravid
uterus and on internal examination revealed a nulliprarous
introitus, smooth vaginal wall, cervix was 2 cm dilated , 30-40%
effaced at station - 1, intact bag of water in footling breech presentation. Patient was then scheduled for Emergency Low Segment Caesarian Section under subarachnoid block delivering to a live term, female. Diagnosis of biconuate uterus was made intra-operatively . Intra-operative findings revealed a well formed uterine segment. Amniotic fluid was clear and adequate in amount. Placenta was located anteriorly. The uterus has two horns divided by a septum but not completely separated. The cervix and vagina were single. Patient had an unremarkable pregnanty. She completed fir (5) prenatal visits at a local health center where ultrasound and other diagnostic examination such as complete blood count and urinalysis were requested but were not done.

Publication Type
Research Report
Date

Objectives

1. To discuss the incidence of bicornuate uterus
2. To discuss the effect of this uterine malformation on pregnancy
3. To discuss the management

LocationLocation CodeAvailable FormatAvailability
Baguio General Hospital and Medical Center Fulltext Print Format
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