Operative hysteroscopy assisted evacuation of a non-viable pregnancy in the setting of a congenital uterine anomaly - bicornuate bicollis

The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (mullerian ducts). The two mullerian ducts normally fuse to form the single uterine body. A didelphis uterus will have a double cervix and a double vagina. This case report describes the successful removal of retained products of conception following a spontaneous miscarriage in the setting of a bicornuate bicollis anomaly with a non-viable pregnancy using operative hysteroscopy. The successful removal of the retained products of conception is an essential step in the management of a spontaneous miscarriage. Gynaecologists should be aware of the potential complications associated with this condition and refer patients with a diagnosis of uterine didelphys to an expert in gynaecology for further evaluation and management.