Unique case of successful twin pregnancy after spontaneous conception in a patient with uterus bicornis unicollis

Abnormal fusion of the mullerian ducts or failure of absorption of the septum causes varying degrees of congenital uterine malformation. Twin gestation in a case of bicornuate uterus is extremely rare. We are reporting this case because of its extremely rare presentation, where twins have managed to...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2007-08, Vol.276 (2), p.193-195
Main Authors: Arora, Manju, Gupta, Nupur, Neelam, Jindal, Sunita
Format: Article
Language:English
Subjects:
Adult
Female
Humans
In vitro fertilization
Infant, Newborn
Male
Pregnancy
Pregnancy Complications - etiology
Pregnancy Outcome
Pregnancy, Multiple
Uterus
Uterus - abnormalities
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Summary:Abnormal fusion of the mullerian ducts or failure of absorption of the septum causes varying degrees of congenital uterine malformation. Twin gestation in a case of bicornuate uterus is extremely rare. We are reporting this case because of its extremely rare presentation, where twins have managed to reach term after spontaneous conception. A 28-year-old second gravida, para one was initially diagnosed to have diamniotic dichorionic twins on ultrasound. At term, she was referred to us with severe preeclamptic toxaemia. On examination, she was found to have a bicornuate uterus with one fetus in each horn. Both siblings were successfully delivered by caesarean section. So far, only one similar case has been reported following in vitro fertilisation. Although poor reproductive performance has been documented in previous reports of bicornuate uterus with twin gestation, our patient managed to reach term with delivery of healthy siblings by caesarean section.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-007-0323-7