CONGENITAL UTERINE ANOMALY-BICORNUATE UTERUS WITH SUCCESSFUL PREGNANCIES OUTCOMES IN A TERTIARY HOSPITAL, SOUTHERN NIGERIA:  CASE SERIES

FELIX CHIKAIKE C. WEKERE; PAUL L. KUA; LEESI SAPIRA-ORDU; SOTONYE ASIKIMABO-OFORI; PRECIOUS K. GBENEOL; ROSE S. IWO-AMAH; LEWIS B. LEBARA; SANDRA U. IBEABUCHI; SOKEIPIRIM E. IKIROMA; PEACEBE S. ABERE; LEZIGA D. NDII; GLORY P. A. BRIGGS

doi:10.56557/jocrims/2022/v8i18058

CONGENITAL UTERINE ANOMALY-BICORNUATE UTERUS WITH SUCCESSFUL PREGNANCIES OUTCOMES IN A TERTIARY HOSPITAL, SOUTHERN NIGERIA: CASE SERIES

FELIX CHIKAIKE C. WEKERE

PAUL L. KUA

LEESI SAPIRA-ORDU

SOTONYE ASIKIMABO-OFORI

PRECIOUS K. GBENEOL

ROSE S. IWO-AMAH

LEWIS B. LEBARA

SANDRA U. IBEABUCHI

SOKEIPIRIM E. IKIROMA

PEACEBE S. ABERE

LEZIGA D. NDII

GLORY P. A. BRIGGS

Journal of Case Reports in Medical Science, Page 9-14
DOI: 10.56557/jocrims/2022/v8i18058
Published: 30 December 2022

Abstract

Bicornuate uterus, a class IV Mullerian anomaly results from impairment in the fusion of the Mullerian duct. It is associated with both normal and many obstetric complications. We present two rare cases of bicornuate uterus with successful pregnancy outcomes among Nigerian ladies. The diagnoses of the bicornuate uterus were made incidentally during a routine antenatal ultrasound scan in their first pregnancies. These were confirmed intraoperatively and the patients were notified.

In the first case, the foetal head occupied the cavity of the left horn and the breech in the cavity of the large right horn while in the second case, the right horn was empty and the foetus was in the left horn. These women with bicornuate uterus carried their pregnancies to term and had elective repeat caesarean sections with favourable foeto-maternal outcomes. The mothers and their babies are alive and doing well.

Overall, the ladies had two and four successful pregnancy outcomes respectively. Women with a bicornuate uterus can achieve successful pregnancy outcomes despite the obstetric challenges of the anomaly. Thus, the index cases highlight that it is practically safe to forgo metroplasty in bicornuate uterus, in particular, asymptomatic women that had achieved successful pregnancies.

Keywords:

Uterine malformation
anomalies
mullerian
bicornuate uterus
RSUTH

PDF Requires Subscription or Fee (USD 30)

PDF (INR 2100)

How to Cite

WEKERE, F. C. C., KUA, P. L., SAPIRA-ORDU, L., ASIKIMABO-OFORI, S., GBENEOL, P. K., IWO-AMAH, R. S., LEBARA, L. B., IBEABUCHI, S. U., IKIROMA, S. E., ABERE, P. S., NDII, L. D., & BRIGGS, G. P. A. (2022). CONGENITAL UTERINE ANOMALY-BICORNUATE UTERUS WITH SUCCESSFUL PREGNANCIES OUTCOMES IN A TERTIARY HOSPITAL, SOUTHERN NIGERIA: CASE SERIES. Journal of Case Reports in Medical Science, 8(1), 9-14. https://doi.org/10.56557/jocrims/2022/v8i18058

References

Jacquinet A, Millar D, Lehman A. Etiologies of uterine malformations. American Journal of Medical Genetics Part A. 2016;170(8):2141-72.

Bhagavath B, Greiner E, Griffiths KM, Winter T, Alur-Gupta S, Richardson C, et al. Uterine malformations: An update of diagnosis, management, and outcomes. Obstetrical & Gynecological Survey. 2017;72(6):377-92.

Edmonds KD. Normal and abnormal development of the genital tract. In: Edmonds KD, Lee C, Bourne T, editors. Dewhurst's Textbook of Obstetrics and Gynaecology. 9th Ed: John and Wiley & Sons LTD. 2018;485-98.

Gogineni S, Devi KJP, Vellanki VS, Sravanthi M, Dharmaja D. Bicornuate uterus with successful pregnancy outcome. IOSR Journal of Dental and Medical Sciences. 2013;9:52-4.

Rackow BW, Arici A. Reproductive performance of women with müllerian anomalies. Current Opinion in Obstetrics and Gynecology. 2007;19(3):229-37.

Lin PC. Reproductive outcomes in women with uterine anomalies. Journal of Women's Health. 2004;13(1):33-9.

Begum F, Parvin T, Noor T, Uddin S, Chowdhury K, Akter A. Reproductive Outome In Women with Different Types of Congenital Anomalies. Sch Int J Obstet Gynec. 2022; 5(12):568-72.

Imo A, Sunday-Adeoye I. Radiological assessment of the uterus and fallopian tubes in infertile women at Abakaliki, Nigeria. Nigerian Journal of Clinical Practice. 2008;11(3):211-5.

Kaur P, Panneerselvam D. Bicornuate Uterus. StatPearls [Internet]: StatPearls Publishing; 2021.

Panagiotopoulos M, Tseke P, Michala L. Obstetric complications in women with congenital uterine anomalies according to the 2013 European Society of Human Reproduction and Embryology and the European Society for Gynaecological Endoscopy Classification: a systematic review and meta-analysis. Obstetrics & Gynecology. 2021;10.1097.

Lewis AD, Levine D. Pregnancy complications in women with uterine duplication abnormalities. Ultrasound Quarterly. 2010; 26(4):193-200.

Borgohain D, Srivastava S. Pregnancy in bicornuate uterus. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2018;7(1):346-9.

Gulavi E, Kyende Mutiso S, Mariara Muriuki C, Mukaindo Mwaniki A. Successful pregnancy outcome after open strassman metroplasty for bicornuate uterus. Case Reports in Obstetrics and Gynecology; 2018.

Hassan M-AM, Lavery SA, Trew GH. Congenital uterine anomalies and their impact on fertility. Women’s Health. 2010;6(3):443-61.

Lueck T, Young BC. Double Trouble: A Singleton in Each Horn of a Bicornuate Uterus. NeoReviews. 2022;23(10):e699-e702.

56 times
3 times

Download Statistics

Downloads

Download data is not yet available.