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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 02

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Ginecol Obstet Mex 2023; 91 (02)

Spontaneous twin pregnancy in a bicorporeal uterus, a contribution to the experience

Freyre-Santiago JM, Bermúdez-Rodríguez A, García-Lima L, Díaz-Sanginés BP

Language: Spanish
References: 18
Page: 119-125
PDF size: 384.98 Kb.


ABSTRACT

Background: Congenital uterine anomalies are the result of abnormal formation, fusion, or resorption of the Müllerian ducts during embryological development. The bicornuate, unicornuate and didelphic uterus (U1, U2, U3 ESHRE/ESGE), are unification defects with a low prevalence both in the general population and in the population with a history of abortion and infertility, is estimated at around 0.4 to 1.1%, respectively. The presentation of the case can provide useful information related to with the evolution of the pregnancy and the perinatal outcomes when this anomaly appears.
Clinical case: A 35-year-old patient with secondary amenorrhea and a positive immunological pregnancy test with a history of severe primary dysmenorrhea and previous magnetic resonance imaging with a congenital uterine anomaly compatible with a bicorporeal uterus (U3 complete ESHRE-ESGE), complete bicornuate (4a /AFS) , uterus didelphys (ASRM). The pregnancy was uncomplicated until 37 weeks, when it was terminated by cesarean section, with uterine hypotonia that did not require transfusion of blood products.
Conclusion: Twin pregnancy with bicornuate uterus is a rare entity, most of them have been achieved spontaneously and those that reach term have been resolved by elective cesarean section.


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