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Published in: Archives of Gynecology and Obstetrics 2/2007

01-08-2007 | Case Report

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

Authors: Manju Arora, Nupur Gupta, Neelam, Sunita Jindal

Published in: Archives of Gynecology and Obstetrics | Issue 2/2007

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Abstract

Introduction

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.

Case report

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 pre-eclamptic 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.

Conclusion

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.
Literature
1.
go back to reference Himonen PK, Saarikoski S, Psytynen P (1982) Reproductive performance of women with uterine anomalies. Acta Obstet Gynecol Scand 61:157–162CrossRef Himonen PK, Saarikoski S, Psytynen P (1982) Reproductive performance of women with uterine anomalies. Acta Obstet Gynecol Scand 61:157–162CrossRef
2.
go back to reference Tompkins P (1962) Comments on the bicornuate uterus and twinning. Surg Clin North Am 42:1049–1062PubMed Tompkins P (1962) Comments on the bicornuate uterus and twinning. Surg Clin North Am 42:1049–1062PubMed
3.
go back to reference Bhagwat SA (1953) Twin pregnancy in bicornuate uterus. J Indian Med Assoc 22(8):330–331PubMed Bhagwat SA (1953) Twin pregnancy in bicornuate uterus. J Indian Med Assoc 22(8):330–331PubMed
4.
go back to reference Laird EG, Thomas RB, Halabine (1957) Double pregnancy in a bicornuate uterus; a review of the literature with a case report. Del Med J 29(3):78–80PubMed Laird EG, Thomas RB, Halabine (1957) Double pregnancy in a bicornuate uterus; a review of the literature with a case report. Del Med J 29(3):78–80PubMed
5.
go back to reference Keisar AP (1962) Birth of twins in a woman with a bicornuate uterus. Kazan Med Zh 1:65–66PubMed Keisar AP (1962) Birth of twins in a woman with a bicornuate uterus. Kazan Med Zh 1:65–66PubMed
6.
go back to reference Green WM, Berry S, Wilkinson G (1979) Twin pregnancy in a bicornuate uterus. J Clin Ultrasound 7(4):303–304PubMedCrossRef Green WM, Berry S, Wilkinson G (1979) Twin pregnancy in a bicornuate uterus. J Clin Ultrasound 7(4):303–304PubMedCrossRef
7.
go back to reference Ahram JA, Toaff ME, Chandra P, Laffey P, Chawla HS (1984) Successful outcome of a twin gestation in both horns of a bicornuate uterus. Am J Obstet Gynecol 150(3):323–324PubMed Ahram JA, Toaff ME, Chandra P, Laffey P, Chawla HS (1984) Successful outcome of a twin gestation in both horns of a bicornuate uterus. Am J Obstet Gynecol 150(3):323–324PubMed
8.
go back to reference Tanaka T, Fujimoto S, Matsuzaki N, Sakuragi N, Ichinoe K (1988) Twin gestation induced with hMG-hCG in a patient with a bicornuate uterus: report of a successful delivery. Int J Fertil 33(1):33–35PubMed Tanaka T, Fujimoto S, Matsuzaki N, Sakuragi N, Ichinoe K (1988) Twin gestation induced with hMG-hCG in a patient with a bicornuate uterus: report of a successful delivery. Int J Fertil 33(1):33–35PubMed
9.
go back to reference Celiloglu M, Issever D, Posaci C, Onvural A (1991) A twin pregnancy in a bicornuate uterus. Rev Fr Gynecol Obstet 86(10):613–614PubMed Celiloglu M, Issever D, Posaci C, Onvural A (1991) A twin pregnancy in a bicornuate uterus. Rev Fr Gynecol Obstet 86(10):613–614PubMed
10.
go back to reference Barmat LI, Damario MA, Kowalik A, Kligman I, Davis OK, Rosenwaks Z (1996) Twin gestation occupying separate horns of a bicornuate uterus after in-vitro fertilization and embryo transfer. Hum Reprod 11(10):2316–2318PubMed Barmat LI, Damario MA, Kowalik A, Kligman I, Davis OK, Rosenwaks Z (1996) Twin gestation occupying separate horns of a bicornuate uterus after in-vitro fertilization and embryo transfer. Hum Reprod 11(10):2316–2318PubMed
11.
go back to reference Kuczynski AW, Szczesniak W, Szczygielski A (1998) A case of successful twin pregnancy placed in separate horns of bicornuate, unicollis uterus. Acta Genet Med Gemellol (Roma) 47(3–4):201–204 Kuczynski AW, Szczesniak W, Szczygielski A (1998) A case of successful twin pregnancy placed in separate horns of bicornuate, unicollis uterus. Acta Genet Med Gemellol (Roma) 47(3–4):201–204
12.
go back to reference Aruh I, Aslan D, Karaaslan F, Pinar T (2005) Twin pregnancy in the horns of a bicornuate uterus after it vitro fertilization and split embryo transfer J Reprod Med 50(3):213–215PubMed Aruh I, Aslan D, Karaaslan F, Pinar T (2005) Twin pregnancy in the horns of a bicornuate uterus after it vitro fertilization and split embryo transfer J Reprod Med 50(3):213–215PubMed
13.
go back to reference Suh CS, Jee BC, Ku SY, Kim SH, Choi YM, Kim JG, Moon SY (2005) Twin gestation induced by clomiphene citrate and bromocriptine in both horns of a bicornuate uterus. Fertil Steril 84(3):756PubMedCrossRef Suh CS, Jee BC, Ku SY, Kim SH, Choi YM, Kim JG, Moon SY (2005) Twin gestation induced by clomiphene citrate and bromocriptine in both horns of a bicornuate uterus. Fertil Steril 84(3):756PubMedCrossRef
Metadata
Title
Unique case of successful twin pregnancy after spontaneous conception in a patient with uterus bicornis unicollis
Authors
Manju Arora
Nupur Gupta
Neelam
Sunita Jindal
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 2/2007
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-007-0323-7

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