Authors: Abrehet Gebrekidane, Kibreab Asrat, Laban Lebahati.Simel, Lakshmi Nanduri
Recurrent miscarriage is defined as 3 consecutive pregnancy losses prior to 20 weeks from the last menstrual period. Associated factors with recurrent second trimester miscarriage are congenital uterine abnormalities, adhesions, fibroids or polyps including unicornuate, bicornuate, septate or double uterus and endometriosis, intrauterine and cervical incompetence. In this case report, 35 year old patient with history of three consecutive miscarriages in early second trimester presented in outpatient clinic with complaints of 14.5 weeks of amenorrhea, severe lower abdominal pain and vaginal bleeding. Fixed enlarged mass like structure was felt along the right side of the cervix with no irregularities on bimanual pelvic assessment. This examination finding remained the same before and after evacuation and curettage procedure.. Two months later, patient reported for revaluation as advised and hystero-salpingo-graphy (HSG) was performed that revealed septate uterus. Surgical correction of the septum (resection) was done on her septate uterus. Patient was advised to have contraception for 18 months after surgery. Couple received preconception counselling. Pregnancy occurred two months following the cessation of family planning method. During her ante-natal period, counselling and psychological support was offered. She had uneventful normal pregnancy and live infant was delivered by cesarean section.
Miscarriage, Septate uterus, Hysterosalpingography, Resection
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