Abdullahi Mk, Aliyu Ld
Obstetrics and Gynaecology Department, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi Nigeria.
Obstetrics and Gyneacology Department, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi Nigeria.
J West Afr Coll Surg. 2012 Jan;2(1):84-90.
Uterine anomalies are uncommon and in our environment they are usually incidental findings. There are different types of uterine anomalies and most are known to influence reproductive outcomes of the affected women. We present a case of a 26-year old G6P5+0 (3 alive) with a bicornuate uterus who presented with 12 weeks history of amenorrhoea, lower abdominal pain and bleeding per vaginam. Pelvic ultrasound showed an empty uterus and a right adnexal mass which was misdiagnosed as an ectopic pregnancy. At surgery, she was found to have a bicornuate uterus with an intact pregnancy. The pregnancy aborted spontaneously shortly after discharge from hospital. The patient had had five previous successful pregnancies which she carried to term with three of her children alive. The objective of the report was to show that patients with uterine anomaly could have successful pregnancy outcome; the congenital anomaly could be discovered incidentally while being managed for other clinical conditions.
子宫畸形并不常见，在我们所处的环境中，它们通常是偶然发现的。子宫畸形有不同类型，大多数已知会影响受影响女性的生殖结局。我们报告一例26岁、孕6产5 +0（存活3个）、双角子宫的患者，她停经12周，伴有下腹痛和阴道出血。盆腔超声显示子宫内为空，右侧附件有一肿块，被误诊为异位妊娠。手术时发现她是双角子宫且妊娠完整。出院后不久，妊娠自然流产。该患者之前有过5次成功妊娠，均足月分娩，3个孩子存活。本报告的目的是表明子宫畸形患者可能有成功的妊娠结局；先天性畸形可能在因其他临床情况接受治疗时被偶然发现。
