Abstrait

Incidental finding of bicornuate uterus in a primigravida associated with preeclampsia with severe features: A case report.

Ilikannu SO, Adigba EO, Jombo SE*, Agadagba E, Odo BC, Ochuba CO

Abnormal fusion of the mullerian duct during embryonic life results in a variety of congenital malformations of the uterus. A bicornuate uterus is a rare congenital anomaly of the uterus which results from the partial fusion of the mullerian ducts, leading to varying degrees of separation of the uterine horns. It poses several obstetric complications like recurrent miscarriages, mal-presentation, preterm labour, intrauterine growth restriction and hypertensive disorders of pregnancy including preeclampsia. We present a 29 year old unbooked primigravida with features of preeclampsia with severe features and an unfavourable cervix at 35 weeks gestation. She subsequently had an urgent caesarean section with the outcome of a live male neonate that weighed 2.2 kg with good Apgar scores and an incidental finding of a bicornuate uterus. Successful pregnancies have been reported with this rare condition, however detailed examination with ultrasound and other investigation modalities could help pick this anomaly early enough for proper management to avert the morbidity that can ensue from this rare entity.