Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy

A bicornuate uterus is a term used to denote a set of congenital Mullerian anomalies that are a result of incomplete fusion of the uterovaginal horns during the development of the female genital tract at the level of the fundus. A case of a woman in her late 20s with 17 weeks 2 days period of gestat...

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Main Authors: Rajasri G Yaliwal, Aruna M. Biradar, Laxmi Sangolli, Rakshitha Raghavendra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-07-01
Series:BLDE University Journal of Health Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/bjhs.bjhs_148_24
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author Rajasri G Yaliwal
Aruna M. Biradar
Laxmi Sangolli
Rakshitha Raghavendra
author_facet Rajasri G Yaliwal
Aruna M. Biradar
Laxmi Sangolli
Rakshitha Raghavendra
author_sort Rajasri G Yaliwal
collection DOAJ
description A bicornuate uterus is a term used to denote a set of congenital Mullerian anomalies that are a result of incomplete fusion of the uterovaginal horns during the development of the female genital tract at the level of the fundus. A case of a woman in her late 20s with 17 weeks 2 days period of gestation is described who presented to the OBGYN outpatient department wishing to discontinue her current pregnancy. Medical termination of pregnancy (MTP) was attempted with pharmacological and mechanical methods, which all proved unsuccessful. On the last resort to open the abdomen, an incidental discovery of a bicornuate uterus was made. The pregnancy located in the left horn was removed, while the right horn was intact. Most Mullerian anomalies go unnoticed, even on ultrasound, until women give a history of recurrent pregnancy losses, preterm deliveries, or, as in the above case, failure of MTP. Increased awareness and familiarity with the diagnosis are required for active intervention in these adverse conditions.
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institution Kabale University
issn 2468-838X
2456-1975
language English
publishDate 2024-07-01
publisher Wolters Kluwer Medknow Publications
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series BLDE University Journal of Health Sciences
spelling doaj-art-d7ab9d1aa69345299d3f80bbb75768da2025-02-10T14:45:43ZengWolters Kluwer Medknow PublicationsBLDE University Journal of Health Sciences2468-838X2456-19752024-07-019217718010.4103/bjhs.bjhs_148_24Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomyRajasri G YaliwalAruna M. BiradarLaxmi SangolliRakshitha RaghavendraA bicornuate uterus is a term used to denote a set of congenital Mullerian anomalies that are a result of incomplete fusion of the uterovaginal horns during the development of the female genital tract at the level of the fundus. A case of a woman in her late 20s with 17 weeks 2 days period of gestation is described who presented to the OBGYN outpatient department wishing to discontinue her current pregnancy. Medical termination of pregnancy (MTP) was attempted with pharmacological and mechanical methods, which all proved unsuccessful. On the last resort to open the abdomen, an incidental discovery of a bicornuate uterus was made. The pregnancy located in the left horn was removed, while the right horn was intact. Most Mullerian anomalies go unnoticed, even on ultrasound, until women give a history of recurrent pregnancy losses, preterm deliveries, or, as in the above case, failure of MTP. Increased awareness and familiarity with the diagnosis are required for active intervention in these adverse conditions.https://journals.lww.com/10.4103/bjhs.bjhs_148_24abortionbicornuate uterusobstetrics and gynecology
spellingShingle Rajasri G Yaliwal
Aruna M. Biradar
Laxmi Sangolli
Rakshitha Raghavendra
Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy
BLDE University Journal of Health Sciences
abortion
bicornuate uterus
obstetrics and gynecology
title Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy
title_full Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy
title_fullStr Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy
title_full_unstemmed Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy
title_short Beware of failure of early pregnancy induction – An incidental discovery of an undiagnosed bicornuate uterus at laparotomy
title_sort beware of failure of early pregnancy induction an incidental discovery of an undiagnosed bicornuate uterus at laparotomy
topic abortion
bicornuate uterus
obstetrics and gynecology
url https://journals.lww.com/10.4103/bjhs.bjhs_148_24
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AT laxmisangolli bewareoffailureofearlypregnancyinductionanincidentaldiscoveryofanundiagnosedbicornuateuterusatlaparotomy
AT rakshitharaghavendra bewareoffailureofearlypregnancyinductionanincidentaldiscoveryofanundiagnosedbicornuateuterusatlaparotomy