Twin gestation in one horn of a bicornuate uterus

Narlawar, Ranjeet; Chavhan, Govind; Bhatgadde, Veena L.; Shah, Jeshil R.

doi:10.1002/jcu.10143

Cited by 12 publications

(7 citation statements)

References 8 publications

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“…9 However, deciding on what the final number of fetuses should be was difficult in view of the lack of other cases with similar findings. We were able to find a case of twins in 1 horn of a uterus bicornis unicollis, which resulted in a spontaneous second-trimester abortion 8 ; in contrast to this, we found a case report in which there was 1 fetus in each horn, and the twins had a good outcome. 5 This case also brings out another important point, which is a general confusion about the classification of the anomalous uterus.…”

contrasting

confidence: 63%

“…[5][6][7] There was 1 case in which a twin pregnancy was present in a single horn of a uterus bicornis unicollis; that pregnancy ended in a spontaneous abortion at 22 weeks. 8 After we presented the couple with the available experience from the published cases, they decided against reducing the pregnancy to a singleton in the left horn and decided to proceed with a 4-to-2 reduction, reducing 1 fetus from each of the horns. …”

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confidence: 99%

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Quadruplet Pregnancy

Monteagudo

Strok²,

Greenidge³

et al. 2004

J of Ultrasound Medicine

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ver the last decade, as both assisted reproductive technologies and diagnostic imaging techniques have improved, a greater number of unusual pregnancies have been documented. Quadruplet pregnancies are no longer a rare event in busy perinatal centers. However, this case report is unusual because the quadruplet pregnancy consisted of a pair of dichorionic/ diamniotic twins, each in a horn of an anomalous uterus (septate-complete, with 2 cervices and an upper vaginal septum). Three-dimensional (3D) sonography was used to evaluate the location of the fetuses within the uterine horns. To our knowledge, no identical or similar case was reported in the literature, as reviewed by us in a PubMed search. Case ReportA 32-year-old woman, gravida 3, para 0020, with a history of a uterus bicornis bicollis came to our unit at 10 weeks 3 days postmenstrually for evaluation of her multifetal pregnancy. This pregnancy was the result of ovulation induction with artificial intrauterine insemination. Her obstetric history was notable for 2 cervices and a small upper vaginal septum diagnosed clinically in 1996. A hysterosalpingogram revealed a uterus didelphys with the left uterine horn appearing larger than the right. In 1997, she had a naturally conceived pregnancy in the left uterine horn that resulted in a spontaneous abortion at 8 postmenstrual weeks. Magnetic resonance imaging (MRI) in 2001 showed a complete uterine duplication consistent with a bicornis bicollis uterus. Subsequently in 2002, she had a pregnancy, also in the left side, as a result of artificial insemination, which resulted in a spontaneous abortion at 5 postmenstrual weeks.

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contrasting

confidence: 63%

mentioning

confidence: 99%

Quadruplet Pregnancy

Monteagudo

Strok²,

Greenidge³

et al. 2004

J of Ultrasound Medicine

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“…Bicornuate uteri may be at increased risk for twin pregnancies [Tompkins, 1962;Green et al, 1979;Ahram et al, 1984;Narlawar et al, 2003;Singhal et al, 2003;Arora et al, 2007] (possibly via superfetation) particularly with assisted reproductive technologies and IVF [Barmat et al, 1996;Aruh et al, 2005;Suh et al, 2005]. Twin pregnancies appear to have an increased risk for arthrogryposis, particularly of the Amyoplasia type [Hall et al, 1983b].…”

Section: Discussionmentioning

confidence: 99%

Uterine structural anomalies and arthrogryposis—death of an urban legend

Hall

2012

American J of Med Genetics Pt A

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In a review of 2,300 cases of arthrogryposis collected over the last 35 years, 33 cases of maternal uterine structural anomalies were identified (1.3%). These cases of arthrogryposis represent a very heterogeneous group of types of arthrogryposis. Over half of individuals affected with arthrogryposis demonstrated asymmetry and some responded to removal of constraint, 29 of the 33 cases of arthrogryposis whose mother had a uterine structural anomaly could be identified as having a specific recognizable type of arthrogryposis. Only two cases (0.08%) had primarily proximal contractures that returned to almost normal function within 1 year. Craniofacial asymmetry was the most striking finding in these two cases. A quarter of cases had ruptured membranes between 32 and 36 weeks and either oligohydramnios or prematurity. The pregnancy histories of the mothers with uterine structural anomalies were typical in having infertility, multiple miscarriages, and stillbirths. The finding of only two cases which are likely to have multiple congenital contractures on the basis of uterine constraint suggests that it is a very rare primary cause of arthrogryposis.

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“…However, to our knowledge there are only two case reports involving a twin pregnancy in one half of a bicornuate uterus, as in our case study. Maagard and Langhoff-Roos [ 11 ] report a case of spontaneously conceived twins in a single horn of a bicornuate uterus delivered at 26 + 4 weeks via caesarean section due to preterm labour, whilst Narlawar et al [ 12 ] report a case of spontaneously conceived twins in one horn of a bicornuate uterus resulting in spontaneous abortion at 22 weeks.…”

Section: Discussionmentioning

confidence: 99%

Successful delivery of spontaneously conceived twins in a single horn of a bicornuate uterus: A case report

Adams

Minuzzo

2019

Case Reports in Women's Health

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Uterine malformations are associated with infertility, recurrent miscarriage and preterm birth, to variable degrees. Accurate classification is crucial to management. A 30-year-old primigravida presented with spontaneous conception of monochorionic diamniotic twins in the right horn of a bicornuate uterus, previously diagnosed as a didelphys uterus. At 28 + 5 weeks of gestation, the patient had preterm prelabour rupture of membranes followed by preterm labour, resulting in the patient undergoing an emergency caesarean section, with the successful delivery of live twin males.

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Twin gestation in one horn of a bicornuate uterus

Cited by 12 publications

References 8 publications

Quadruplet Pregnancy

Quadruplet Pregnancy

Uterine structural anomalies and arthrogryposis—death of an urban legend

Successful delivery of spontaneously conceived twins in a single horn of a bicornuate uterus: A case report

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