scholarly journals Hemiuterus with functional non-communicating horn in a young female

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
M. Venkatesh ◽  
Sandeep Singh Awal
Keyword(s):  
Female Genital Tract ◽  
Young Female ◽  
Human Reproduction ◽  
Obstetric Outcomes ◽  
Pelvic Cavity ◽  
Correct Identification ◽  
Pelvic Mri ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
The Right

Abstract Background Mullerian duct anomalies are a broad spectrum of congenital anomalies of the female genital tract presenting with variable symptoms like infertility, amenorrhoea, dysmenorrhea, pelvic endometriosis, and poor obstetric outcomes. Unicornuate uterus or hemiuterus occurs as a result of abnormal formation or failure of formation of the contralateral part. Case presentation We present a rare case report of hemiuterus with functional non-communicating horn along with hematometra in a 15-year-old female who presented with severe dysmenorrhoea since her menarche. Pelvic Ultrasonography demonstrated inconclusive findings of a heterogenous lesion in the right pelvic cavity adjacent to the uterus. Further, pelvic MRI revealed a hemiuterus on the left side with a normal endometrial cavity and a well-defined functional non-communicating horn on right side. The diagnosis of European Society of Human Reproduction (ESHRE) Classification U4a uterine anomaly (left hemiuterus with functional non-communicating horn on right side) was established. Conclusions ESHRE Class U4a comprises of hemiuterus with a functional rudimentary horn. This is considered clinically significant as it may lead to further complications, such as hematometra or ectopic pregnancy in the rudimentary horn. Hence, the correct identification of this entity is essential as laparoscopic removal is the current recommended management.

An incidental finding of a unicornuate uterus with non-communicating rudimentary horn in a 30-year-old female with recurrent abortion

2021 ◽  
Vol 2 (1) ◽  
pp. 1-5
Author(s):  
Sule MB ◽  
◽  
Sa’idu SA ◽  
Ma’aji SM ◽  
Danfulani M ◽  
...  
Keyword(s):  
Incidental Finding ◽  
First Trimester ◽  
Pelvic Cavity ◽  
Recurrent Abortion ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Uterine Anomalies ◽  
Mullerian Ducts ◽  
Left Fallopian Tube ◽  
The Right

Unicornuate uterus is a form of uterine anomalies which arise from failure of development and fusion of the Mullerian ducts, and accounts for about 2.4-13% of all Mullerian anomalies. This is a 30-year-old housewife referred for hysterosalpingography (HSG) on account of secondary infertility. The patient also had history of recurrent abortion in the first trimester. The HSG showed an ellipsoidal or Banana shaped uterus in the left lateral pelvic cavity with prominent left fallopian tube that showed peri-fimbrial spillage of contrast medium with non-demonstration of a communicating rudimentary horn. She also had a pelvic ultrasound that showed an empty uterus with a right hypoechoic solid area most likely the right rudimentary horn. We report the radiologic features of Unicornuate uterus due to its rare nature and peculiar presentation

Unicornuate uterus with a functional non-communicating horn in adolescent

2021 ◽  
Vol 14 (8) ◽  
pp. e242874
Author(s):  
Rawan Abdulrahim A Jalil ◽  
Abeer Isa Alsada
Keyword(s):  
Female Genital Tract ◽  
Laparoscopic Approach ◽  
Female Adolescent ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Primary Dysmenorrhoea ◽  
Laparoscopic Excision ◽  
Common Causes ◽  
History Of ◽  
The Right

Common causes of pelvic pain are primary dysmenorrhoea, Müllerian duct anomalies, outflow obstruction, leiomyoma, endometriosis and adenomyosis. Unicornuate uterus with a rudimentary horn is a rare congenital malformation of the female genital tract, asymptomatic because of lack of functional endometrium. This study presents a rare case of a non-communicating functional rudimentary horn. A 16-year-old unmarried Yemeni female adolescent with a history of irregular painful menstrual period visited Obstetrics and Gynaecology outpatient clinic. Pelvic ultrasound was conducted showing an asymmetrical uterine configuration with the non-communicating rudimentary horn on the right side. Laparoscopic excision of the horn was planned for the patient. Non-communicating rudimentary horn with functional endometrium should be considered as a differential diagnosis in the female adolescent with obstructive uterine symptoms. Early diagnosis is crucial. Using the laparoscopic approach, an expert surgeon prefers definitive management to excise the rudimentary horn.

scholarly journals Rotura Uterina às 18 Semanas de Gravidez no Contexto de Útero Malformado

2016 ◽  
Vol 29 (10) ◽  
pp. 667
Author(s):  
Emídio Vale-Fernandes ◽  
Neusa Teixeira ◽  
Alexandra Cadilhe ◽  
Maria José Rocha
Keyword(s):  
Uterine Rupture ◽  
Female Genital Tract ◽  
Obstetric Outcomes ◽  
Placenta Increta ◽  
Abnormal Placentation ◽  
History Of ◽  
Uterine Malformations ◽  
The Right ◽  
Congenital Uterine Anomaly ◽  
Female Genital

Birth defects of the female genital tract are relatively common and often asymptomatic. Despite the pregnancy outcome can be favorable, adverse obstetric outcomes are described in women with uterine malformations. The authors report the case of an obstetric emergency which enhances the possibility of a very adverse and rare outcome of uterine rupture in a left hemi-cavity of a bicornuate uterus away from the term, at 18 weeks of pregnancy, in a pregnant woman with history of caesarean in the right hemi-cavity and with placenta increta. A malformed uterus with a primitive type cavity has lower distensibility of the wall with the progression of the pregnancy and facilitates the development of abnormal placentation forms, increasing the risk of uterine rupture in the first and second trimesters. The knowledge of the existence of a congenital uterine anomaly in the preconceptional period is of primary importance.

scholarly journals Timely Identification of Pregnancy in Noncommunicating Horn of Unicornuate Uterus by Three-Dimensional Transvaginal Ultrasonography

2018 ◽  
Vol 8 ◽  
pp. 39
Author(s):  
Aarti Deenadayal Tolani ◽  
Kadambari ◽  
Anupama Deenadayal ◽  
Suhasini Donthi ◽  
Indira Rani Yellenki ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Transvaginal Ultrasonography ◽  
Fertility Treatment ◽  
High Morbidity ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Uterine Anomalies ◽  
3D Tv ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Pregnancy in the rudimentary horn of a unicornuate uterus is uncommon and needs to be diagnosed at early stages to avoid uterine rupture to avert the high morbidity and mortality. In this case report, we discussed the advantage of three-dimensional transvaginal ultrasonography (3D TV-USG) in assessing the early pregnancy in the noncommunicating rudimentary horn of uterus. A 23-year-old woman approached us for routine pregnancy scan. The location of 5-week pregnancy was confirmed in the right noncommunicating horn of a unicornuate uterus by 3D TV-USG. She has undergone laparohysteroscopy, and excision of a gravid rudimentary horn was done. After an interval of 6 months, the patient received fertility treatment and conceived consequently. Although magnetic resonance imaging (MRI) is an excellent way of diagnosing uterine anomalies, the procedure is expensive, time-consuming, and not widely available. 3D USG is less expensive and more readily accessible for early diagnosis of uterine anomalies, particularly in health-care centers where MRI is not readily available or affordable.

scholarly journals Unicornuate uterus with rudimentary horn, gynaecological and reproductive outcome

2021 ◽  
Vol 10 (5) ◽  
pp. 2055
Author(s):  
Arti Anand ◽  
Madhuri Chandra ◽  
Meeta Agarwal
Keyword(s):  
Imaging Techniques ◽  
Female Genital Tract ◽  
Fetal Distress ◽  
Intractable Pain ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Risk Pregnancy ◽  
First Case ◽  
Mullerian Ducts ◽  
One Year

Congenital malformations of the female genital tract occur in about 8-10% of all women. The unicornuate uterus is a result of partial or complete agenesis of one of the paired Mullerian ducts. It could be a true unicornuate uterus or along with a rudimentary horn, which may be functional. When the rudimentary functional horn is non-communicating, most patients become symptomatic after menarche or present with pregnancy related problems. Three clinical presentations of unicornuate uterus with non-communicating rudimentary horn encountered in last one year are described. The first case was of unruptured rudimentary horn pregnancy of 11-12 weeks. Second case had rudimentary horn removed as an adolescent due to intractable pain, but later main uterus harboured an uneventful pregnancy. Case three had two early abortions, followed by term caesarean section for fetal distress. With advent of ultrasonography and other imaging techniques, the diagnosis and management of unicornuate uterus and its variations is possible. The functional rudimentary horn if symptomatic must be removed along with ipsilateral tube. A unicornuate uterus is associated with obstetric problems and such women should be considered as high risk pregnancy.

scholarly journals Multimodality Study of a Twin Pregnancy Within a Rudimentary Horn

2018 ◽  
Vol 34 (3) ◽  
pp. 216-221
Author(s):  
Garth S. Nanni ◽  
Thomas Wall ◽  
Cynthia Silkowski
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Uterine Rupture ◽  
Twin Pregnancy ◽  
Resonance Imaging ◽  
Missed Abortion ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Endocervical Canal ◽  
The Right

Pregnancies within rudimentary horns of unicornuate uteri are extremely rare. These pregnancies account for approximately 1 in 76 000 to 1 in 140 000 worldwide, with uterine rupture being the most concerning complication. A case is presented of a 24-year-old female, gravida 2, para 0, who underwent multiple sonograms pertaining to two gestations over a 3-year period. Both pregnancies occurred within the left rudimentary horn of a unicornuate uterus. The left rudimentary horn was confirmed, on magnetic resonance imaging, to have no communication with the right horn or endocervical canal. The first pregnancy resulted in a missed abortion, and the second pregnancy, 3 years later, was a twin gestation, which was carefully monitored. At 20 weeks, the uterus began to rupture, and an emergency C-section was attempted. Neither the fetus nor the rudimentary horn survived, which was excised. This case demonstrates a rare uterine finding, a pregnancy occurred twice within the horn that lacked communication with the cervix.

scholarly journals Successful pregnancy and term delivery after treatment of unicornuate uterus with non-communicating rudimentary horn pregnancy with local methotrexate injection followed by laparoscopic resection: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Makiko Ueda ◽  
Kuniaki Ota ◽  
Toshifumi Takahashi ◽  
Satoshi Suzuki ◽  
Daisuke Suzuki ◽  
...  
Keyword(s):  
Blood Flow ◽  
Laparoscopic Surgery ◽  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Elective Cesarean Section ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Gestational Sac ◽  
The Right

Abstract Background Pregnancy in a rudimentary horn is an extremely rare type of ectopic pregnancy. A rudimentary uterine horn pregnancy is associated with a risk of spontaneous rupture and bleeding during surgery due to the increased uterine blood flow. Recent advances in imaging modalities have enabled laparoscopic surgery to be performed in cases without rupture in the early stages of pregnancy. However, there are few reports of successful pregnancies and deliveries after treatment of rudimentary horn pregnancies. We report the successful management of a case of non-communicating rudimentary horn pregnancy by local injection of methotrexate followed by complete laparoscopic excision along with a review of the literature. Case presentation The patient was a 29-year-old Japanese woman, gravida 2, nullipara. She was diagnosed with a left unicornuate uterus with a right non-communicating rudimentary horn on hysterosalpingography and magnetic resonance imaging. A gestational sac with a heartbeat was observed in the right rudimentary uterine horn at 6 weeks of gestation. A diagnosis of ectopic pregnancy in a non-communicating rudimentary horn was made. Color Doppler detected multiple blood flow signals around the gestational sac, which were clearly increased compared to the left unicornuate uterus. Her serum human chorionic gonadotropin level was 104,619 mIU/ml. A 100 mg methotrexate injection into the gestational sac was administered, and laparoscopic surgery was performed on day 48 after the methotrexate treatment. The right rudimentary horn and fallopian tube were successfully excised with minimal bleeding. A spontaneous normal pregnancy was established 6 months after the surgery. The pregnancy was uneventful, and a baby girl was born by elective cesarean section at 38w0d. Conclusion Combined local methotrexate injection and laparoscopic surgery are safe treatment options for patients with a unicornuate uterus with a non-communicating rudimentary horn pregnancy.

scholarly journals Rare case of hematometra in rudimentary horn of unicornuate uterus after tubal ligation

2018 ◽  
Vol 7 (9) ◽  
pp. 3881
Author(s):  
Pundalik Sonawane ◽  
Archana Waghela ◽  
Supriya Gaikwad
Keyword(s):  
Genital Tract ◽  
Rare Case ◽  
Female Genital Tract ◽  
Tubal Ligation ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Abdominal Symptoms ◽  
High Incidence ◽  
Mullerian Ducts ◽  
Female Genital

Congenital anomalies of the uterus and vagina are associated with a high incidence of infertility and multiple obstetric problems. Unicornuate uterus with rudimentary horn is a rare mullerian duct anomaly of female genital tract with incidence of 1/100000. It usually develops following insufficient development of mullerian ducts. These patients present with dysmenorrhea, dyspareunia, and chronic pelvic pain because of endometriosis and rarely with acute abdominal symptoms following distention and torsion of the non-communicating rudimentary horn. A case of a unicornuate uterus with non-communicating rudimentary horn with functional endometrium developing hematometra after tubal ligation is presented herein.

scholarly journals Torsion in a massive hematosalpinx with a functional rudimentary horn: a rare cause of acute abdomen in adolescence, managed laparoscopically

2020 ◽  
Vol 9 (12) ◽  
pp. 5127
Author(s):  
Arpita De ◽  
Renu Misra ◽  
Abhinav Jain
Keyword(s):  
Acute Abdomen ◽  
Congenital Anomalies ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Reproductive Potential ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Salient Points ◽  
Female Genital

Congenital anomalies of the female genital tract may remain undiagnosed till adolescence. Unicornuate uterus with a rudimentary horn is rare and found in 1 in 100000 women. A functional rudimentary horn may cause hematometra, hematosalpinx, endometriosis and its complications. This is a case of a 13-year-old girl who had a hematometra in a functional rudimentary horn and a hematosalpinx with torsion giving rise to an acute abdomen and a 16-week mass abdomen. Laparoscopy was done followed by detorsion, salpingectomy and transection of the rudimentary horn. This article should sensitize the need to correct the anomaly while preserving the reproductive potential of the girl. A review of the salient points of laparoscopy in such cases have been further discussed.

Unicornuate Uterus with NonCommunicating Non-Cavitated Rudimentary Uterine Horn: An Unusual Case with Adenomyosis Managed with Total Hysterectomy

2015 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Medical Treatment ◽  
Unusual Case ◽  
Uterine Bleeding ◽  
Uterine Horn ◽  
Rudimentary Horn ◽  
Total Hysterectomy ◽  
Unicornuate Uterus ◽  
Ultrasound Evaluation ◽  
Rudimentary Uterine Horn

A 45-year-old woman admitted to our hospital complaining of perimenopausal uterine bleeding not responding to medical treatment. Ultrasound evaluation revealed unicornuate uterus with adenomyosis and it was so difficult to see the distant small left rudimentary horn on ultrasound. The patient underwent laparotomy with total hysterectomy for both horns and was sent to pathologist that indicated adenomyosis and non-communicating non-cavitated left rudimentary horn.

Sign in / Sign up

Export Citation Format

Share Document