Journal of Clinical Case Reports

Successful Expectant Management of Cotwin Death in Septate Uterus: Case Report

Abstract

 Temesgen Bekabil* and Bedasa Elias Erena

Background: It is known that twin pregnancy caries higher risks to the mother and her fetuses. More importantly, its occurrence in septate uterus seems to carry more fatal complications. This case report is presented to show the occurrence of spontaneous twin pregnancy in septate uterus and successful expectant management of cotwin death in this type of uterine malformation.
Case Presentation: A 25-year-old primigravid mother with septate uterus admitted to hospital at gestational age of 33 weeks + 4 days with diagnosis of cotwin death. She was on expectant management until 37 weeks at which time cesarean section was done to delivery alive baby.
Conclusion: Spontaneous twin pregnancy can occur in septate uterus. This pregnancy, like the one in normal uterus, can be complicated by cotwin death which possibly be expectantly managed until fetal lung maturity is achieved.