ABSTRACT

A large external fundal indentation in an otherwise normal-appearing uterus is typically what distinguishes it as a bicornuate uterus. When there is incomplete fusion of the Mullerian ducts at the level of the fundus, the uterus develops a bicornuate shape. The external contour of the uterine fundus has a cleft that is greater than 1 centimeter wide, which serves as its defining feature. This generally have no symptoms initially, but later the women start developing dysmenorrhea, excessive pain during menstruation, frequent miscarriages [1]. A female patient with 22 years of age had symptoms of dysmenorrhea and pain during her period for four to five years. Her obstetrics record reveals that she is nulliparous and has had two abortions. She didn't have a history of T2DM (Type-2 Diabetes Mellitus), HTN (Hypertension), or TB(Tuberculosis). The tests done in her lab were normal. According to the USG A/P (Ultrasonography- Abdomen and Pelvis), the endometrium is splitting cranially into two horns, with normal myometrium tissue between them. MSF (Multiple small follicles) was detected in B/L(bilateral) ovaries. And, the patient was diagnosed with Bicornuate Uterus. For the treatment of it, a surgical procedure known as Strassman Metroplasty was done for the correction of the anomaly. Keywords: Bicornuate Uterus, miscarriage, abortion, menstruation, Strassman Metroplasty, endometrium
Publication date: 01/11/2024

https://ijbpas.com/pdf/2024/November/MS_IJBPAS_2024_8413.pdf

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https://doi.org/10.31032/IJBPAS/2024/13.11.8413