(Ventrodorsal) Symmetrical Bicornuate Uterus Mimicking a Pedunculated Myoma—A Case Report

Adam Moyosore Afodun,Mustapha Akajewole Masud,Khadijah Kofoworola Quadri,Sodiq Kolawole Lawal,Muhammad Olanrewaju Buhari

doi:10.4236/fmar.2017.54004

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.

Highlights

Bicornuate uterus being a disorder of Mullerian ducts [2] is distinct from type II
Kumar et al (2008) [4] in a study reported that MRI showing bicornuate uterus exposed cervical agenesis
Treated didelphic uterus according to Heinonen (2000) [7] has encouraging fertility prognosis when compared to a bicornuate uterus

Summary

Introduction

Tubal Mullerian anomaly accounts for bicornuate 39%, arcuate 7%, septated-uterus 34%, aplastic > 5% and other uterine structural defects [1]. Bicornuate uterus being a disorder of Mullerian ducts [2] is distinct from type II. There are reported cases of IVF failure in a bicornuate uterus and some increased incidence of ectopic pregnancy complications [3]. Some studies [5] have cited septate uterus as the 2nd most common uterine anomaly after bicornuate uterus [6]. Data linking Caesarian sections, PROM (premature rupture of membrane), breach-lie/presentations to uterine anomalies are mostly from case reports, structural anatomic variations or micro-studies [12] [13] [14]. Advances in 3D and 4D (i.e., 3D in real-time) ultrasound have led to non-invasive observations of these anomalies [9]

Case Report

Findings

Discussion

Conclusions