case_images: PMC7457575_01
case_images: Patient's phenotype at age 17.
case_images: IJWH-12-675-g0001.jpg
case_images: PMC7457575_01_IJWH-12-675-g0001.jpg
case_images: f0001
case_images: Her medical findings included stage 1 obesity (weight, 87 kg (P > 95); height, 1.65 m (P34); and body mass index (BMI), 31.96 kg/m2) and a head circumference of 59 cm (P > 99) (Figure 1).
case_images: Patient's round face.
case_images: IJWH-12-675-g0002.jpg
case_images: PMC7457575_01_IJWH-12-675-g0002.jpg
case_images: f0002
case_images: Physical examination evidenced a round face, broad nose, xanthelasmas in both lower lids, epicanthal fold, long palpebral fissures, an inner canthal distance of 3.5 cm (P75-97), and an outer canthal distance of 11.5 cm (P > 97) (Figures 2 and 3); as well as an abundant adipose panicle, speech delay, poor coordination, coarse hands with a length of 19 cm, and a third finger measuring 8.5 cm.
case_images: Increased outer canthal distance, xanthelasmas, and epicanthal folds.
case_images: IJWH-12-675-g0003.jpg
case_images: PMC7457575_01_IJWH-12-675-g0003.jpg
case_images: f0003
case_images: Physical examination evidenced a round face, broad nose, xanthelasmas in both lower lids, epicanthal fold, long palpebral fissures, an inner canthal distance of 3.5 cm (P75-97), and an outer canthal distance of 11.5 cm (P > 97) (Figures 2 and 3); as well as an abundant adipose panicle, speech delay, poor coordination, coarse hands with a length of 19 cm, and a third finger measuring 8.5 cm.
case_images: Laparoscopic total hysterectomy.
case_images: IJWH-12-675-g0004.jpg
case_images: PMC7457575_01_IJWH-12-675-g0004.jpg
case_images: f0004
case_images: At the age of 20, and with the previous administration of Factor VIII and FvW, a laparoscopic total hysterectomy with bilateral salpingectomy was performed using advanced bipolar energy and closing the cupula with barbed sutures (Figure 4).
case_images: Bicornuate uterus.
case_images: IJWH-12-675-g0005.jpg
case_images: PMC7457575_01_IJWH-12-675-g0005.jpg
case_images: f0005
case_images: The pathological examination of the specimen confirmed the diagnosis of bicornuate uterus, corresponding to the previous radiological findings (Figure 5).