Case Report
Year: 2020 | Month: December | Volume: 10 | Issue: 12 | Pages: 270-273
Bicornuate Uterus Presenting with Recurrent Pregnancy Loss; the Role of Hysterosalpingography in the Diagnosis: A Report of Two Cases
Ibrahim HG1, Muhammad SB1, Hafsat AR1, Umar UA2
1Department of Radiology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
2Department of Radiology, Gombe State University, Gombe, Nigeria.
Corresponding Author: Ibrahim Haruna Gele
ABSTRACT
Abnormal fusion of the mesonephric duct (mullerian duct) during embryonic life results in a variety of congenital uterine malformations like septate uterus, unicornuate uterus, bicornuate uterus and uterine didelphys. Bicornuate uterus results from incomplete fusion of the utero-vaginal horns at the level of the fundus. About 15%-25% of women with uterine anomalies have problem with fertility and reproduction. Reproductive outcomes of uterine anomalies can be improved with better management.
Radiodiagnostic imaging such as Ultrasonography, Hysterosalpingography (HSG) and Magnetic Resonance Imaging (MRI) makes accurate detection of these anomalies possible.
The first case is AI, a 35 year old P1+ 5 1 alive woman, last child birth 14 years ago who presented with the history of recurrent pregnancy loss. Hysterosalpingography revealed bicornuate uterus with widely separated uterine horns down to a variable distance in the cervical canal and an intercornual distance of 10cm.
The second case is HP, a 27 year old nullipara married for 5 years with history of recurrent pregnancy loss. Hysterosalpingography demonstrated a bicornuate uterus with separated horn down to the lower uterine segment and intercornual distance of 6.1cm.
Key words: Bicornuate uterus, Pregnancy loss, Hysterosalpingography.