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CASE REPORT
Year : 2019  |  Volume : 36  |  Issue : 3  |  Page : 474-476

Medical termination of pregnancy in bicornuate uterus with twin gestation


1 Fetal Medicine Consultant, Apollo Hospitals, Karapakkam, Chennai, Tamil Nadu, India
2 Obstetrics and Gynecology Consultant, Apollo Hospitals, Karapakkam, Chennai, Tamil Nadu, India
3 Quality Cell, Apollo Hospitals, Karapakkam, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Krishnan Geetanjali
Apollo Hospitals, Karapakkam, Chennai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TJOG.TJOG_48_19

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The incidence of uterine anomalies in general population is about 3-5 %.abnormalities of fusion of mullerian duct during embryogenesis results in varied congenital abnormalities like arcuate, septate, uni-cornuate, bi-cornuate uterus. Majority of them are asymptomatic. The suspicion of uterine abnormalities is always considered when there is a history of recurrent abortions, intrauterine growth restrictions, preterm labour, mal-presentations. We are presenting a 31 year old pregnant women who came with history of urine pregnancy test positive at 56 days of amenorrhea and requested medical termination of pregnancy. On ultrasound examination a bi-cornuate uterus with pregnancy in both horns of the uterus was imaged. Her first pregnancy was a normal full term delivery one year ago. She was not diagnosed with bi-cornuate uterus in her previous pregnancy. She was given a combination of mifepristone and misoprostol for termination of pregnancy, which ended in a successful medical termination of pregnancy, confirmed by transvaginal ultrasound done two weeks later.


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