Forum
MRI of a twin pregnancy in a uterus bicornis unicollis
Matthys van Wyk, Nasreen Mahomed, Mala Modi
Abstract
A 30-year-old woman was seen at 24 weeks for a discrepancy between the symphysis-fundal height and the gestation by dates. Ultrasound examination revealed a twin pregnancy and showed the placentas to be implanted ‘back-to-back’ over what appeared to be a septum that extended from the uterine fundus to the cervix. A bicornuate unicollis uterus was confirmed on MRI and revealed two divergent uterine horns separated by a deep fundal cleft, surrounded by myometrial tissue, containing a fetus within each horn. A single cervix and vagina was visualised, in keeping with a Class IVA Müllerian duct abnormality. At 33 weeks, an emergency caesarean section delivery was performed via two separate classical incisions into each corpus.
Authors' affiliations
Matthys van Wyk, University of the Witwatersrand
Nasreen Mahomed, Chris Hani Baragwanath Hospital
Mala Modi, Chris Hani Baragwanath Hospital
Keywords
Uterus bicornuus unicollis; twin pregnancy; mri
Cite this article
South African Medical Journal 2011;101(2):103.
Article History
Date submitted: 2010-07-08
Date published: 2011-01-27
Article Views
Abstract views: 3634
Full text views: 2113
Comments on this article
*Read our policy for posting comments
here
Comments on this article
*Read our policy for posting comments here