Abstract
Congenital Mullerian duct anomalies are conditions involving the female genital tract. Cases of complex Mullerian duct anomalies with involvement of the renal system are rare. Occasionally, these cases can be associated with obstetrical complications. Cervical prolapse infrequently complicates pregnancy, and an association between uterine malformations and cervical prolapse has not been cited in the literature. We describe the case of a primigravid patient at 38 weeks of gestation noted to have cervical prolapse during evaluation for preeclampsia and labor induction. Obstetrical ultrasound at presentation to the labor and delivery suite revealed a high suspicion for a bicornuate uterus. The patient was delivered by cesarean section due to obstruction of the lower uterine segment of the gravid uterus. Further evaluation post-partum revealed a bicornuate bicolis uterus and renal agenesis. Pregnancies in patients with bicornuate bicollis uterus can be complicated by obstruction of the gravid uterus, resulting in cervical prolapse and necessitating cesarean section.
Highlights
Congenital Mullerian duct anomalies are conditions involving the female genital tract
We describe the presentation of a nulliparous patient with cervical prolapse, bicornuate bicollis uterus, and obstruction of the lower uterine segment of the gravid uterus by the nongravid uterus
We report the case of a primigravid patient with bicornuate bicollis uterine anatomy, cervical prolapse, preeclampsia, and unilateral renal agenesis who was delivered with cesarean section due to obstruction of the lower uterine segment of the gravid uterus
Summary
Congenital Mullerian duct anomalies are conditions involving the female genital tract They involve abnormalities of the fallopian tubes, uterus, cervix, and/or upper vagina. Other studies have found an association between congenital Mullerian duct anomalies and an increased incidence of renal and urinary tract abnormalities, often leading to more complex cases [4]. Studies have found an increased risk of spontaneous abortion in patients with cervical prolapse [6]. In this case report, we describe the presentation of a nulliparous patient with cervical prolapse, bicornuate bicollis uterus, and obstruction of the lower uterine segment of the gravid uterus by the nongravid uterus
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