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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
FREYRE-SANTIAGO, José Mauricio; BERMUDEZ-RODRIGUEZ, Alexandra; GARCIA-LIMA, Linda and DIAZ-SANGINES, Bertha Patricia. Spontaneous twin pregnancy in a bicorporeal uterus, a contribution to the experience. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.2, pp.119-125. Epub May 05, 2023. ISSN 0300-9041. https://doi.org/10.24245/gom.v91i2.7670.
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.
Keywords : Bicorporeal uterus; Uterus didelphys; Bicornuate uterus; Müllerian anomalies; Pregnancy; Twin pregnancy.