Abstract

PREGNANCY IN A BICORNUATE UTERUS: A CASE REPORT FOR ACCIDENTAL DISCOVERY OF OVARIAN ENDOMETRIOSIS

Manar Rhemimet*, Andonavalona Andrianjafy, Hounaida Mahfoud, Oumaima Sarhdaoui, Najia Zeraidi, Amina Lkhdar, Aicha Kharbach and Aziz Baidada

ABSTRACT

Uterine anomalies are often identified during pregnancy, during infertility evaluation or pregnancy miscarriage and have been associated with an increased risk of adverse pregnancy outcomes. All these abnormalities can affect the evolution of pregnancy, in fact, Patients with uterine malformations and multiple gestation experience a significant risk of complications over and above patients without malformations in both the mother and the unborn babies. These complications include: early and late miscarriage, ectopic pregnancy, threat of premature labour, premature labour, vascular pathologies during pregnancy and inadequate intra-uterine growth, low birth weight, rupture of the uterus and labour abnormalities, including, but not limited to, dynamic dystocia. Ultrasound screening should allow for a systematic identification of such cases in order to take the necessary preventive measures. We report the case of this patient, who has a unicervical bicornuate uterus associated with ovarian and vaginal endometriosis, radiological exploration for renal malformations objectified the presence of a solitary kidney.

Keywords: bicornuate uterus, Mullerian malformations, c section, ovarian and vaginal endometriosis.