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Case Reports in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 563085, 3 pages
http://dx.doi.org/10.1155/2012/563085
Case Report

Twin Gestation in a Septate Bicornuate Uterus

Maternity Unit, Nisa Premier Hospital, Plot 115–117, Alex Ekwueme Street, P.O. Box 7320, Jabi, Abuja 900001, Nigeria

Received 18 October 2012; Accepted 11 November 2012

Academic Editors: P. De Franciscis and B. Piura

Copyright © 2012 Henry Osazuwa and David Ejenobo. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bicornuate and septate uteri are among the commonest Mullerian anomalies. They are sporadic and fairly distinguished, but hybrid deformities can occur. This combination creates aetiological and clinical difficulties. The alternative theory of concurrent fusion and septal resorption of the Mullerian duct is seen as the basis of the altered foetal embryology, while the favourable outlook of a bicornuate uterus may be offset by the suboptimal implantation across the avascular septum. Obstetric care is based on empirical interventions deduced from case series, with varied and inconsistent outcomes. We present a 32-year-old primipara with a dizygotic twin gestation in separate compartments of a septate bicornuate uterus. She had an elective bilateral caesarean delivery at term with an accidental septal resection for morbidly adherent placenta. Although a summation of obstetric risks is a possibility, an excellent outcome was observed.