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Case Reports
. 2024 Nov 28;16(11):e74642.
doi: 10.7759/cureus.74642. eCollection 2024 Nov.

Bicornuate Uterus With a Rudimentary Horn: Management and Considerations

Laila Alhubaishi  1 , Aya Alsalihi  1 , Alya Sharaf  1 , Jinan Khalifa  2 , Abdulla Sharaf  3
Affiliations
Case Reports

Bicornuate Uterus With a Rudimentary Horn: Management and Considerations

Laila Alhubaishi et al. Cureus. .

Abstract

A defect in the fusion of Müllerian ducts results in the uterine malformation of the bicornuate uterus. The bicornuate uterus is an uncommon condition, and it is associated with adverse early pregnancy and antenatal events, such as recurrent miscarriages, preterm labor, and delivery. The bicornuate uterus has two symmetric uterine cavities that are fused caudally and have some degree of communication between the two cavities, usually at the uterine isthmus. This anomaly led to a heart-shaped uterus instead of a pear shape. Correction of this anatomical anomaly may result in better obstetric outcomes for the patient. We present a case of a female diagnosed to have a bicornuate uterus and a poor obstetric history who underwent complex laparoscopic surgery for correction of this anomaly. We present a case of a bicornuate uterus with a history of recurrent miscarriages and its management.

Keywords: bicornuate uterus; hysterosalpingorgram; impairment in the fusion of mullerian ducts; preterm labor; recurrent pregnancy loss.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Non-communicating bicornuate uterus, right fallopian tube present.
Figure 2
Figure 2. Right tube and fimbria of the rudimentary horn were excised.
Figure 3
Figure 3. Final look after removal of non-communicating rudimentary horn.
See this image and copyright information in PMC

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