1887

n South African Medical Journal - Clinical images : MRI of a twin pregnancy in a uterus bicornis unicollis : forum

Volume 101, Issue 2
  • ISSN : 0256-9574
USD

 

Abstract

A 30-year-old woman was seen at 24 weeks for a discrepancy between the symphysis-fundal height and the gestation by dates. Ultrasound examination revealed a twin pregnancy and showed the placentas to be implanted 'back-to-back' over what appeared to be a septum that extended from the uterine fundus to the cervix (Fig. 1). A bicornuate unicollis uterus was confirmed on MRI and revealed two divergent uterine horns separated by a deep fundal cleft, surrounded by myometrial tissue, containing a fetus within each horn (Fig. 2). A single cervix and vagina was visualised (Fig. 3), in keeping with a Class IVA Müllerian duct abnormality. At 33 weeks, an emergency caesarean section delivery was performed via two separate classic incisions into each corpus.

Loading full text...

Full text loading...

Loading

Article metrics loading...

/content/m_samj/101/2/EJC67514
2011-02-01
2017-04-24

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error