A patient with a history of recurrent second-trimester miscarriages undergoes an MRI. The scan shows a heart-shaped uterine cavity with two distinct horns. What is the most likely diagnosis?
biconuate uterus
Repeated second-trimester pregnancy loss raises suspicion of a congenital uterine anomaly.
MRI showing a heart-shaped cavity with two separate horns is the classic picture of a bicornuate uterus, where incomplete fusion of the Müllerian ducts leaves two uterine horns.
A septate uterus has a normal external shape with an internal septum, a unicornuate uterus has a single horn, and a didelphys uterus has two completely separate uteri and cervices — none match the heart-shaped two-horn picture.
Hence, biconuate uterus.
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Important Questions from Midwifery and Obstetrical Nursing
What is the expected color and composition of lochia serosa?
A nurse observes that a woman’s lochia has transitioned from rubra to alba on the twelfth postpartum day. What does this indicate about her recovery process?
Which fetal position is most commonly associated with prolonged labor due to malposition?
A pregnant woman complains of heartburn during her third trimester. Which combination of management strategies is most appropriate for this minor disorder?
A pregnant woman diagnosed with hydramnios presents with sudden severe abdominal pain and difficulty breathing. What is the most appropriate immediate nursing action?
