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Case Rep Obstet Gynecol. 2013;2013:834952. doi: 10.1155/2013/834952. Epub 2013 Nov 14.

Spontaneous twin pregnancy in uterus bicornis unicollis.

Case reports in obstetrics and gynecology

Arzu Doruk, Ilay Gozukara, Güneş Burkaş, Esin Bilik, Talat Umut Kutlu Dilek

Affiliations

  1. Department of Obstetrics and Gynecology, Mersin University, School of Medicine, 33200 Mersin, Turkey.
  2. Department of Obstetrics and Gynecology, Kütahya Dumlupinar University, School of Medicine, 43050 Kütahya, Turkey.

PMID: 24349808 PMCID: PMC3848245 DOI: 10.1155/2013/834952

Abstract

Abnormal fusion of the Müllerian ducts or failure of resorption of the septum causes varying degrees of congenital uterine malformation. They are often associated with reproductive problems such as miscarriage, premature labour, premature rupture of the membranes, or malpresentation. Twin gestation in a case of bicornuate uterus is extremely rare. A 37-year-old multiparous woman conceived a twin dichorionic diamniotic pregnancy spontaneously. Three-dimensional ultrasound revealed bicornuate uterus with one embryo in each cavity. Perinatal course was uneventful. At 35 weeks of pregnancy, spontaneous labour started and twin babies were delivered by bilateral low transvers caesarean section. Because of the rare occurrence of twin gestation in bicornuate uterus, there is no uniform guideline to manage these cases appropriately. Delivery by planned caesarean section could avoid the possible obstetric complications by dystocia.

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