Incidental Finding of Bicornuate Uterus during Caesarean Section: A Case Report

Raymond Surya, Edward Sugito Manurung, Ekarini Aryasatiani, Andrew Pratama Kurniawan, Ramot Arif Banamtuan, Charles Yulian Boru, Leomard Evan Mella, Budi Iman Santoso


Background: The prevalence of uterine anomalies is estimated from 3% to 5% in the general population. This report would like to discuss a case of successful pregnancy outcome at term delivery in patient with bicornuate uterus in district area of Indonesia Soe, East Nusa Tenggara, Indonesia.

Case Report: A 30-year-old first gravida with 39 weeks of gestation coming for elective cesarean section due to primipara in breech pregnancy. There was baby girl born in 2,500 grams of birthweight. During exploration of uterus, both tubes and ovaries, there was found bicornuate uterus with a single common cervix. We found both kidneys in normal size, bicornuate uterus with thickening of endometrial line in left side and normal endometrial line in right side. We measured that the septum was 38 mm. Both mother and baby were healthy at discharge.

Result: Bicornuate uterus is usually asymptomatic and diagnosed due to obstetrical complication or accidentally. Uterine abnormalities are increased risk of first and second-trimester loss of pregnancy, preterm delivery <28 weeks, low birth weight babies, and malpresentation at delivery. Imaging plays an essential role in diagnosis and management of bicornuate uterus. It is fundamental to educate a woman with this anomaly. Malpresentation with breech presentation is caused by uterine abnormality of bicornuate uterus.



bicornuate uterus, malpresentation, cesarean section, pregnancy outcome

Full Text:



Choudhary S, Jelly P, Mahala P. Successful outcome of pregnancy in bicornuate uterus: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Sep 26;8(10):4086–9.

Borgohain D, Srivastava S. Pregnancy in bicornuate uterus. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017 Dec 25;7(1):346–8.

Zhang Y, Zhao Y yu, Qiao J. Obstetric outcome of women with uterine anomalies in China. Chinese Medical Journal. 2010 Feb;123(4):418–22.

Suparman E. Bicornuate Uterus with Previous C-Section: A Case Report. Jurnal Biomedik:JBM. 2021 Dec 27;13(3):334–7.

Kaur P, Panneerselvam D. Bicornuate Uterus. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cited 2022 Sep 16]. Available from:

Ludwin A, Tudorache S, Martins WP. ASRM Müllerian Anomalies Classification 2021: a critical review. Ultrasound in Obstetrics & Gynecology. 2022;60(1):7–21.

Roly ZY, Backhouse B, Cutting A, Tan TY, Sinclair AH, Ayers KL, et al. The cell biology and molecular genetics of Müllerian duct development. Wiley Interdiscip Rev Dev Biol. 2018 May;7(3):e310.

Passos I de MPE, Britto RL. Diagnosis and treatment of müllerian malformations. Taiwan J Obstet Gynecol. 2020 Mar;59(2):183–8.

Venetis CA, Papadopoulos SP, Campo R, Gordts S, Tarlatzis BC, Grimbizis GF. Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies. Reprod Biomed Online. 2014 Dec;29(6):665–83.

Hall-Craggs MA, Kirkham A, Creighton SM. Renal and urological abnormalities occurring with Mullerian anomalies. J Pediatr Urol. 2013 Feb;9(1):27–32.

Deutch TD, Abuhamad AZ. The role of 3-dimensional ultrasonography and magnetic resonance imaging in the diagnosis of müllerian duct anomalies: a review of the literature. J Ultrasound Med. 2008 Mar;27(3):413–23.

Nitzsche B, Dwiggins M, Catt S. Uterine rupture in a primigravid patient with an unscarred bicornuate uterus at term. Case Rep Womens Health. 2017 Mar 28;15:1–2.

Curtis KM, Tepper NK, Jatlaoui TC, Berry-Bibee E, Horton LG, Zapata LB, et al. US medical eligibility criteria for contraceptive use, 2016. Morbidity and Mortality Weekly Report: Recommendations and Reports. 2016;65(3):1–103.

DOI: Abstract - 0 PDF - 0


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


View My Stats