Bicornuate Uterus With a Rudimentary Horn: Management and Considerations

A defect in the fusion of Müllerian ducts results in the uterine malformation of the bicornuate uterus. The bicornuate uterus is an uncommon condition, and it is associated with adverse early pregnancy and antenatal events, such as recurrent miscarriages, preterm labor, and delivery. The bicornuate uterus has two symmetric uterine cavities that are fused caudally and have some degree of communication between the two cavities, usually at the uterine isthmus. This anomaly led to a heart-shaped uterus instead of a pear shape. Correction of this anatomical anomaly may result in better obstetric outcomes for the patient. We present a case of a female diagnosed to have a bicornuate uterus and a poor obstetric history who underwent complex laparoscopic surgery for correction of this anomaly. We present a case of a bicornuate uterus with a history of recurrent miscarriages and its management.