Bicornuate unicollis uterus; an incidental finding in perimenopausal woman: a case report

Nidhi Jain and Deepak Goel

Bicornuate uterus is a rare type of congenital Müllerian duct malformation, formed due to failure of fusion of upper part of Müllerian duct during embryogenesis. Incidence of congenital uterine malformations is 0.1%-3%, of which incidence of bicornuate uterus is 25%. Mostly bicornuate Uterus is asymptomatic in presentation. However in symptomatic cases, it presents with early pregnancy loss, labour dystocia and gynaecological problems such as abnormal uterine bleeding and dysmenorrhea. Authors here describe a case of bicornuate uterus found incidentally in a 45 year old woman with history of three uneventful vaginal deliveries, who underwent hysterectomy with complaints of abnormal uterine bleeding and fibroid uterus. Hence emphasizing that asymptomatic Müllerian anomalies diagnosed incidentally in any age group should not raise a concern & treatment should be aimed only when they are symptomatic.

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