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Incidental intra-operative finding of a rare uterine fusion abnormality in a primigravida with breech presentation at term: A case report
Author(s) -
Azuka Chinweokwu Ezeike,
Idris Liman,
Rukayya Muhammad Babandi,
Elizabeth Obebhatein Austin-Amadi,
Hafsa Aminu Dantata,
Felix Ugo Ubani
Publication year - 2021
Publication title -
nigerian postgraduate medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 19
ISSN - 1117-1936
DOI - 10.4103/npmj.npmj_561_21
Subject(s) - medicine , breech presentation , abnormality , presentation (obstetrics) , term (time) , case presentation , obstetrics , pregnancy , surgery , physics , quantum mechanics , genetics , psychiatry , biology
Uterine malformations are often asymptomatic but can be associated with a wide range of reproductive problems. We report a case of uterine fusion defect diagnosed intra-operatively in a 20-year-old primigravida who had elective caesarean section at term on account of breech presentation at term. Intraoperative findings included a cone-shaped uterus with narrowed fundus and the appendages emerging at the fundus and lower uterine segment on the right and left respectively. This is a rare fusion defect and makes a case for review of the existing uterine malformation classification systems, to make it all encompassing.

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