We report the case of a 27-year-old female, 3rd gesture, 2nd pare, with two live children born at term by vaginal delivery, referred for management of an unruptured left ectopic pregnancy. The emergency ultrasound showed two distinct uterine cavities containing a non-embryonic gestational sac of 7 SA on the left and a hyperechoic image on the right. Monitoring of plasma beta HCG kinetics showed no duplication. Medical treatment with misoprostol allowed evacuation of the uterine cavity. An MRI scan was performed and the diagnosis of a unicervical bicornuate uterus with fluid retention on the left was made, which was managed with a second course of misoprostol. A second misoprostol treatment allowed managing the uterus. The control ultrasound confirmed the vacuity of both uterine cavities. Through this case study, we highlight the diagnostic difficulties with the contribution of ultrasound and pelvic magnetic resonance imaging.
Cite this paper
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