ACHIEVING PREGNANCY IN A CASE OF BICORNUATE UTERUS WITH ABSENT LEFT KIDNEY WITH HISTORY OF RESECTION OF LONGITUDINAL VAGINALSEPTUM: A CASE REPORT

Abstract

 The incidence of uterine malformations in general population is estimated to be about 3-5% and 5-10% in women with poor reproductive outcome. Fertility and evolution of pregnancy depends on the type of uterine anomaly. Many of them are asymptomatic but it is important to consider this diagnosis in vaginal septum ,hematocolpus ,recurrent miscarriages - early and late, preterm labours, malpresentations, intrauterine growth restrictions and menstrual disturbances like menorrhagia, dysmenorrhea. Septate and arcuate uterus represents approximately 75% of malformations while bicornuate, didelphys and unicornuate comprise the remaining 25%. Cases of pregnancy in a bicornuate uterus are still of sufficient interest and rarity to justify being reported. We report a case of bicornuate uterus with absent left kidney who presented as hematocolpos due to longitudinal vaginal septum in 2017.A diagnostic hysterolaproscopy with resection of septum was done patient again followed up with infertility in 2019. Patient then conceived on follicular monitoring and planned relation with luteal phase support.