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Table 1 Clinical data and management of index cases

From: A “cluster” of ten uterine anomalies observed in a single center over a short period of 4 weeks: a case series

Case no. Age (years) Clinical presentation Menstrual history Obstetric history Clinical examination findings Antenatal USG Indication for LSCS Status of the baby Intraoperative diagnosis
1. 22 G6A5, 34 weeks GA with recurrent pregnancy loss with APE Regular Married life 7 years, G6A5, all being spontaneous abortion during first trimester not contributary normal findings APE No anomalies Septate uterus
2. 20 G2A1, 39 weeks and 6 days GA with breech presentation not in labor Regular G2A1, first pregnancy with spontaneous abortion during first trimester not contributary normal findings Breech presentation No anomalies Arcuate uterus
3. 19 Primigravida with 9 weeks GA with inevitable abortion Regular primigravida Per speculum showed septum with two vaginae and two cervices on either side 9 weeks gestation with uterine didelphys N/A N/A Uterine didelphys diagnosed during ultrasonography
4. 20 G2P1L1, 38 weeks +6 days GA with previous LSCS in latent labor with uterine didelphys Regular Married life 3 years, first baby healthy, LSCS done for breech presentation Per speculum showed septum with two vaginae and two cervices on either side normal findings Previous LSCS, with threatened scar rupture No anomalies Uterine didelphys with longitudinal septum found during LSCS
5. 20 G3A2, 35 weeks + 4 days GA with severe preeclampsia with ascites with breech presentation Regular Married life 5 years, G3A2, previous pregnancies all with first-trimester spontaneous abortion not contributary normal findings Preterm breech with FGR with severe OH with breech No anomalies Bicornuate uterus
6. 25 Primigravida, 39 weeks + 5 days GA with severe preeclampsia with high leak > 8 hours not in labor Regular Primigravida, married life 1 year Per vaginal examination in first trimester showed two horns with space in between (appreciated retrospectively) SLIUG with average gestational age of 7 weeks + 6 days with bicornuate uterus Primigravida with CPD in labor No anomalies Bicornuate uterus communicating cavity, pregnancy in right horn
7. 30 G2A1, 34 weeks + 5 days GA with cervical fibroid with footling presentation, moderate OH in active labor Regular G2A1, first pregnancy with spontaneous abortion during first trimester Per vaginal examination in first trimester showed two horns with space in between (appreciated retrospectively) SLIUG with average gestational age of 12 weeks with bicornuate uterus Footling presentation No anomalies Bicornuate uterus
8. 35 G3P2L2 with 39 weeks + 2 days GA with two previous LSCS with severe preeclampsia, high leak > 2 hours not in labor Regular G3P2L2, married life 10 years. First and second pregnancy uneventful not contributary normal findings Previous two LSCS with severe preeclampsia with high leak No anomalies Unicornuate uterus
9. 30 G2P1L1 40 weeks + 4 days GA with previous LSCS with H/O cardiac surgery, not in labor Regular G2P1L1, first baby healthy and LSCS done for CPD not contributary normal findings Previous LSCS with threatened scar rupture No anomalies Unicornuate uterus
10. 28 P2L2 for laparoscopic sterilization Menarche at 13 years, regular Married for 7 years. Both previous pregnancies uneventful not contributary N/A N/A N/A Bicornuate uterus with rudimentary left horn
  1. GA gestational age, APE antepartum eclampsia, MVA manual vacuum aspiration, LSCS lower-segment cesarean section, FGR fetal growth retardation, OH oligohydramnios, CPD cephalopelvic disproportion, H/O history of, N/A not applicable, SLIUG single live intrauterine gestation, normal findings - is with respect to uterine anomalies only
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Journal of Medical Case Reports

ISSN: 1752-1947