BREECH PRESENTATION IN A PRIMIGRAVIDA WITH BICORNUATE UTERUS, PLACENTA ACCRETA

Abstract

This Case involves a 20-year-old primigravida patient who presented in labor with breech presentation, leading to an emergency cesarean section. During the surgery, complications arose in delivering the baby, and after successful delivery, the uterus was found to be entrapped. Upon further examination, it was determined that the patient had a bicornuate uterus with one rudimentary horn. After the baby was delivered, the placenta was removed using the Closed Curettage Technique (CCT); however, it was discovered that the placenta had accreta, making its removal challenging. Most of the placental tissue was manually removed, but some adherent tissue remained. The uterus was found to have an extremely thin myometrial wall, particularly at the fundus.Additionally, it was noted that one horn of the uterus had fully developed, while the other remained rudimentary and was communicating with the uterine cavity. Further anatomical findings revealed that the right ovary and fallopian tube were attached to the rudimentary horn, complicating the patient's condition further. This Case highlights the significant uterine anomalies that required careful surgical management and posed risks for future pregnancies.