Udigwe Gerald, Nwajiaku Louis
Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Niger J Med. 2011 Oct-Dec;20(4):486-9.
The uterus and its appendages are a common site for congenital abnormalities although overall they are considered rare. One of the easily recognised and described mullerian duct anomalies is the bicornuate uterus. Although it is now believed that unlike septate uterus, bicornuate uterus is not associated with infertility, it is associated with adverse obstetric outcome. We present a case of live term pregnancy in one horn ofa bicornuate uterus in a 22 year old P0(+2) lady with 5 years history of infertility. The bicornuate uterus was undiagnosed before delivery and the antenatal period was uneventful. She was delivered of a live 3.8 kg male baby after an emergency caesarean section. The post partum period was uneventful and the patient was discharged home on the 8th post operative day. The issues surrounding the management of this rare condition are discussed.
子宫及其附件是先天性异常的常见部位，尽管总体来说它们被认为是罕见的。双角子宫是易于识别和描述的苗勒管异常之一。虽然现在认为与纵隔子宫不同，双角子宫与不孕无关，但它与不良产科结局有关。我们报告一例22岁、孕0产（+2）、有5年不孕史的女性，其双角子宫一角发生足月妊娠。双角子宫在分娩前未被诊断，孕期情况平稳。在急诊剖宫产术后，她产下一名体重3.8千克的活男婴。产后情况平稳，患者于术后第8天出院。本文讨论了围绕这种罕见情况的处理问题。
