Operative hysteroscopy assisted evacuation of a non-viable pregnancy in the setting of a congenital uterine anomaly - bicornuate bicollis

Abstract

The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (mullerian ducts). The two mullerian ducts normally fuse to form the single uterine body. A didelphis uterus will have a double cervix and a double vagina. This case report describes the successful removal of retained products of conception following a spontaneous miscarriage in the setting of a bicornuate bicollis anomaly with a non-viable pregnancy using operative hysteroscopy. The successful removal of the retained products of conception is an essential step in the management of a spontaneous miscarriage. Gynaecologists should be aware of the potential complications associated with this condition and refer patients with a diagnosis of uterine didelphys to an expert in gynaecology for further evaluation and management.