Research ArticleOpen AccessGoogle Scholar indexed
(Ventrodorsal) Symmetrical Bicornuate Uterus Mimicking a Pedunculated Myoma—A Case Report
Department of Anatomy, Faculty of Biomedical Science, Kampala International University, Kampala, Uganda · Department of Radiology, Ultrasound and Doppler Unit, Crystal Specialist Hospital, Lagos, Nigeria
Department of Physiology, College of Medicine, University of Lagos, Lagos, Nigeria
Department of Anatomy, State University of Zanzibar, Zanzibar, Tanzania
Department of Anatomy, Faculty of Biomedical Science, Kampala International University, Kampala, Uganda
Department of Anatomy, Faculty of Biomedical Science, Kampala International University, Kampala, Uganda
- 1 Department of Anatomy, Faculty of Biomedical Science, Kampala International University, Kampala, Uganda
- 2 Department of Radiology, Ultrasound and Doppler Unit, Crystal Specialist Hospital, Lagos, Nigeria
- 3 Department of Physiology, College of Medicine, University of Lagos, Lagos, Nigeria
- 4 Department of Anatomy, State University of Zanzibar, Zanzibar, Tanzania
Forensic Medicine and Anatomy Research·Volume 05, Issue 4·Pages 33–38·Published 31 October 2017·DOI10.4236/fmar.2017.54004
Download PDF
Copy link · social · email
Abstract
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.
KeywordsBicornuateUltrasoundFertilityPopulation
- 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.
- Suwal, A. and Kumar, A. (2010) Complete Bicornuate Uterus with Complete Longitudinal Vaginal Septum. Journal of Nepal Medical Association, 49, 243-246.
- 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
- 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
- Nahum, G.G. (1998) Uterine Anomalies. How Common Are They, and What Is Their Distribution among Subtypes? Journal of Reproductive Medicine, 43, 877-887.
- Speroff, L. and Fritz, M.A. (2005) Clinical Gynecologic Endocrinology and Infertility. 7th Edition, Lippincott Williams & Wilvins, Philadelphia.
- 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
- 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.
- 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.
- Zhang, Y., Zhao, Y. and Qiao, J. (2010) Obstetric Outcome of Women with Uterine Anomalies in China. Chinese Medical Journal, 123, 418-422.
- 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.
- Reichman, D., Lauger, M.R. and Robinson, B.K. (2009) Pregnancy Outcomes in Unicor-nuate Uteri: A Review. Fertility and Sterility, 91, 1886-1894.