Spontaneous twin pregnancy in uterus bicornis unicollis complicated with preeclampsia: A case report

Chemlal, Chaymae; Amouri, Imane El; Tanouti, Saloua; Taheri, Hafsa; Saadi, Hanane; Mimouni, Ahmed

doi:10.1016/j.ijscr.2022.106899

Cited by 3 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although vaginal delivery is not contraindicated, a cesarean section was performed in all 16 reported cases [ 20 ]. The reason for a cesarean section was an urgent indication for delivery, such as preeclampsia [ 8 , 9 ] or the avoidance of obstetric complications such as malpresentation and uterine rupture [ 13 , 21 , 22 ]. A cesarean section was performed by two separate uterotomies in the lower uterine segment [ 9 , 21 , 22 ] or a bilateral vertical incision [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…A preventive cerclage of the cervix may be considered, but is known to be associated with a poor reproductive outcome in uterine malformations [ 8 ]. Likewise, the National Institute for Health and Care Excellence (NICE) guidelines do not recommend a routine cervical cerclage to prevent spontaneous preterm birth in women with a twin or triplet pregnancy [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…Chemlal et al reported a case of spontaneous twin pregnancy in a bicornuate unicollis uterus. The authors performed a preventive cervical cerclage with nonabsorbable sutures at 12 weeks, and final delivery by cesarean section due to preeclampsia at 35 weeks [8].…”

Section: Discussionmentioning

confidence: 99%

“…In cases of more severe symptoms, such as primary amenorrhea, hematocolpos, pelvic pain, dyspareunia or obstacle during vaginal penetration, the condition is diagnosed early [ 7 ]. Otherwise, a uterine malformation is first diagnosed during obstetric complications, including spontaneous abortions, intrauterine growth restriction, preterm rupture of membranes, preterm labor, or malpresentation of the infant [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Peripartal management of dichorial twin pregnancy in a bicornuate bicollis uterus: a case report and review of the literature

Schubert,

Tihon,

Andresen

et al. 2024

J Med Case Reports

View full text Add to dashboard Cite

Introduction The management of a pregnancy in a bicornuate uterus is particularly challenging. A bicornuate uterus is a rare occurrence and a twin pregnancy in a bicornuate uterus even more rare. These pregnancies call for intensive diagnostic investigation and interdisciplinary care. Case presentation We report on a 27-year-old European woman patient (gravida I, para 0) with a simultaneous pregnancy in each cavity of a bicornuate bicollis uterus after embryo transfer. The condition was confirmed by hysteroscopy and laparoscopy. Several unsuccessful in vitro fertilization (IVF) attempts had been performed earlier before embryo transfer in each cornus. After a physiological course of pregnancy with differential screening at 12 + 6 weeks and 22 + 0 weeks of gestation, the patient presented with therapy-resistant contractions at 27 + 2 weeks. This culminated in the uncomplicated spontaneous delivery of the leading fetus and delayed spontaneous delivery of the second fetus. Discussion Only 16 cases of twin pregnancy in a bicornuate unicollis uterus have been reported worldwide and only 6 in a bicornuate bicollis uterus. The principal risks in such pregnancies are preterm labor, intrauterine growth restriction, malpresentation and preeclampsia. These typical risk factors of a twin pregnancy are greatly potentiated in the above mentioned setting. Conclusion A twin pregnancy in the presence of a uterine malformation is rare and difficult to manage. These rare cases must be collected and reported in order to work out algorithms of monitoring and therapy as well as issue appropriate recommendations for their management.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Peripartal management of dichorial twin pregnancy in a bicornuate bicollis uterus: a case report and review of the literature

Schubert,

Tihon,

Andresen

et al. 2024

J Med Case Reports

View full text Add to dashboard Cite

show abstract

“…Its diagnosis can be initiated by pelvic examination and supported by ultrasound, magnetic resonance imaging (MRI), sonohysterography or hysterosalpingography examinations [3,5,[7][8][9]. Pregnancy with bicornis unicollis uterus is at high risk and causing various maternal and perinatal consequences [10,11]. These risks should be prevented to reduce maternal and infant mortality.…”

Section: Introductionmentioning

confidence: 99%

Bicornis unicollis uterus as a risk factor of preterm birth: A case of young woman with multiple premature births

Hasanuddin,

Maharani,

Nora

et al. 2023

Narra J

View full text Add to dashboard Cite

Bicornis unicollis uterus is a rare congenital uterine abnormality that occurs due to the failure of Mullerian duct fusion early in the development of the female internal genitalia system. In this case report, we present a woman with bicornis unicollis uterus who had preterm birth. A 30-year-old female patient with two caesarean sections history with premature babies was presented to the hospital with a complaint of regular contractions for twelve hours in her third preterm pregnancy. The patient has no particular symptoms besides acute abdominal pain. The ultrasonography examination indicated a uterus didelphys with breech presentation fetus. Due to the patient’s caesarean history and the fetal presentation, an emergency caesarean section was decided and performed. It was found that the gravid uterus was on the left and the baby was subsequently delivered with a complete placenta. Postoperative condition of the patient was shown to be stable while the baby underwent an intensive care at the neonatal intensive care unit. This case report highlights that early diagnosis in this rare case is critical since bicornis unicollis uterus are mostly asymptomatic. Caesarean section was chosen in the present case based on consideration of the fetal and maternal clinical conditions.

show abstract

Single incision Caesarean section for dicavitary twin pregnancy in uterus didelphys

Cheung,

Martin

2023

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

Spontaneous twin pregnancy in uterus bicornis unicollis complicated with preeclampsia: A case report

Cited by 3 publications

References 6 publications

Peripartal management of dichorial twin pregnancy in a bicornuate bicollis uterus: a case report and review of the literature

Peripartal management of dichorial twin pregnancy in a bicornuate bicollis uterus: a case report and review of the literature

Bicornis unicollis uterus as a risk factor of preterm birth: A case of young woman with multiple premature births

Single incision Caesarean section for dicavitary twin pregnancy in uterus didelphys

Contact Info

Product

Resources

About