Abstract
Introduction: Bicornuate Uterus is a Mullerian duct anomaly which results from failure of fusion of the paramesonephric duct. The prevalence of uterine malformations like bicornuate, septate or arcuate uterus in the general population is about 6.7%, but in patients with recurrent miscarriage it is about 16.7%. Bicornuate uterine malformations are of clinical significance due to their adverse reproductive outcomes. Metroplasty has been shown to improve reproductive outcomes of bicornuate uterine malformation.
We document a case of bicornuate uterus with co-existing fibroids that was managed with conventional abdominal myomectomy and Strassman metroplasty.
Case: A 35 year old nulliparous woman presented to the gynaecological clinic with complaints of recurrent lower abdominal pains, dysmenorrhea and abdominal mass of 3 years duration.
She was evaluated for uterine fibroids and an incidental diagnosis of Bicornuate uterus was made during this evaluation. She had an abdominal myomectomy and metroplasty.
Conclusion: Strassman metroplasty is an uncommon procedure amongst gynaecologists in West Africa. This case seeks to increase awareness and add to the body of knowledge on surgical management of mullerian duct anomalies specifically bicornuate uterus in this region.
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