Bicornuate Uterus with Unilateral Fibroid - Surgical Procedure or LNG-IUS - A Conservative Approach in a Patient Who Opted LNG as Contraception

ABSTRACT

Bicornuate uterus with leiomyoma is rare. A 30 - year - old patient with bicornuate uterus with fibroid presented with abnormal - uterine - bleeding and was treated non - surgically with LNG - IUS. Uterine fibroids and AUB affect the quality of life and remain a leading indication for hysterectomy. In young women, uterine preservation approaches should be preferred as far as possible.Abnormalities in fusion or formation of Mullerian duct results in uterine structural and functional abnormalities.1 One of the Mullerian duct anomalies, bicornuate uterus, occurs due to incomplete fusion of utero-vaginal horns at the level of fundus. Bicornuate uterus is the most common Mullerian duct anomaly (25 % of cases )2,3 and association of bicornuate uterus with leiomyoma is very rare and there have been very few cases reported till now.4,5 A case of bicornuate uterus with unilateral fibroid is being reported who presented with abnormal uterine bleeding and pelvic pain and was treated non-surgically with LNG - IUS.