Author report one case of bicornuate uterus and pregnancy in a patient who had a preterm delivery in her medical history. The support for the pregnancy was a cerclage of the cervix, bi-monthly prenatal consultation, a systematic work stoppage. The removal of cerclage was conducted at 37 weeks of amenorrhea. Childbirth is done vaginally. We didn’t realize restorative surgery of the uterus before pregnancy or after. The aim of our clinical case was to clarify the therapeutic possibilities in an African developing country. Moreover, the formation of an expert team for surgery of uterine malformations should be considered in our work environment.
Severe damage to the right rectus abdominus muscle associated with a uterine broad right ligament hematoma is rare complications of an accident during pregnancy. We report the case of a 31 years old primiparous pregnant woman, who had been victim of a road accident at 28 weeks of pregnancy, when as a pediatrian she was hit by a car. The site of impact was in the right anterolateral area on the abdomen. The pregnancy continued normally and she was ultimately delivered vaginally at 41 weeks of gestation. The baby was normally grown and had Apgar scores of 9 and 10 at 1 and 5 minutes of life. She underwent a laparotomy in the immediate postpartum period for a significant hemoperitoneum; this revealed the lesions and allowed treatment. The postoperative course was uneventful and the patient was discharged on the 6th post-partum day.
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