Challenges Faced With Caesarean Section In A Bicornuate Uterus- A Case Report

Authors

  • Aparna sarwade
  • Shivani Patel
  • Ramya Priya Pojala
  • Radhika Dhediya
  • Sreshtha Saha

Keywords:

Menopause, Mental health, Hormonal fluctuations, Mood disorders, Anxiety, Depression

Abstract

A type of Mullerian anomaly known as a bicornuate uterus is characterised by an incomplete fusion of mullerian ducts, which results in the formation of two uterine cavities. American society of Reproductive medicine 2021 has classified mullerian anomalies into seven types, out of which bicornuate uterus being 4th type is again subclassified into type A and B. ‘A’ being complete and ‘B’ being partial.

The frequency of congenital uterine malformation is approximately five percent in the general population, and the bicornuate being approximately ten percent of total. It is seen with 5-10% of patients with recurrent miscarriages.

The bicornuate uterus is associated with worse reproductive outcomes like recurrent abortions, preterm labour, intrauterine growth restrictions and malpresentations. (9) In most of the cases, patients are asymptomatic and are diagnosed during pregnancy.  Pregnancy in a previously scarred bicornuate uterus has a possibility to be succeeded by the risk of abruption, uterine rupture, and foetal death. We present the instance of a patient who was successfully managed in this manner.

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References

Cunningham F, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Congenital genitourinary abnormalities. In: Williams Obstetrics (25th ed). New York: McGraw-Hill, 2018; p. 73-6.

Ravikanth R. Bicornuate uterus with pregnancy. Journal of Basic and Clinical Reproductive Sciences. 2017;6(2):51-52.

Eligar RC, Choukimath SM. Bicornuate [bicornis, unicollis] uterus, a congenital malformation associated with pathological lesions: A clinicopathological study of 4 rare cases. J Evol Med Dent Sci. 2014;3(17):4608-15.

Behr SC, Courtier JL, Qayyum A. Imaging of Müllerian duct anomalies. Radiographics. 2012;32(6):E233-50.

Aruna S, Yellayi AS, Rani GS. Bicornuate uterus with pregnancy: a case report and review of literature. Int J Sci Study. 2015;3(1):231-3.

Madhavi D. Bicornuate uterus–a case report. Anat Physiol Journal. 2012;2(4):1-2.

Tazinya AA, Feteh VF, Ngu RC, Bechem NN, Halle-Ekane GE. Term pregnancy in a bicornuate uterus: complications, diagnostic and therapeutic challenges in a low resource setting (Douala, Cameroon). International Journal of Medical and Pharmaceutical Case Reports. 2018;11(3):1-4. Doi: 10.9734/IJMPCR/2018/43964

Souvizi B, Jafarzadeh Esfehani R. A case of successful pregnancy in a complete bicornuate uterus. Journal of Midwifery and Reproductive Health (JMRH). 2016;4(3):720-2

Suparman E et al; Bicornuate Uterus with Previous C-Sections: A Case ReportJurnal Biomedik. 2021;13(3):334-337

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Published

2025-05-12

How to Cite

1.
sarwade A, Patel S, Pojala RP, Dhediya R, Saha S. Challenges Faced With Caesarean Section In A Bicornuate Uterus- A Case Report. J Neonatal Surg [Internet]. 2025 May 12 [cited 2026 Apr. 25];14(23S):35-8. Available from: https://jneonatalsurg.com/index.php/jns/article/view/5685