Unicornuate Uterus with Noncommunicating Functional Rudimentary Horn: A Rare Mullerian Anomaly

Background. Müllerian duct malformations delineate a miscellaneous group of congenital anomalies that result from arrested development, abnormal formation, or incomplete fusion of the mesonephric ducts. Case. This paper describes the diagnosis and management of a noncommunicating rudimentary horn complicated by severe pelvic pain and associated endometriosis. Conclusion. This condition was diagnosed by laparoscopy and hysteroscopy examination. Operative videolaparoscopy proved to be a successful approach for the treatment of this congenital Müllerian anomaly.

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A Case of Rare Mullerian Anomaly—Functional Rudimentary Uterine Horn: As an Unusual Cause of Unilateral Dysmenorrhea in Postmenarchal Adolescent Girl

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1174 ◽

2012 ◽

Vol 4 (1) ◽

pp. 56-58

Author(s):

Rekha Choudhary ◽

Suniti Verma ◽

Asha Meena ◽

Sitaram Gothwal

Keyword(s):

South Asian ◽

Adolescent Girl ◽

Chronic Pelvic Pain ◽

Pelvic Mass ◽

Exploratory Laparotomy ◽

Uterine Horn ◽

Rudimentary Horn ◽

Unicornuate Uterus ◽

Rudimentary Uterine Horn ◽

Mullerian Anomaly

ABSTRACT An 18-year-old girl presented with progressively increasing dysmenorrhea. A pelvic mass was suspected which on exploratory laparotomy was found to be a rudimentary horn (hematometra, hematosalpinx). We report a case of unicornuate uterus with functioning rudimentary horn to highlight that mullerian duct anomalies should be considered in the differential diagnosis of severe dysmenorrhea even in normally menstruating girls. Unicornuate uterus with a rudimentary horn is susceptible to many gynecologic and obstetric complications. Hematometra, chronic pelvic pain, endometriosis, infertility are some of the complaints in women with unicornuate uterus. How to cite this article Choudhary R, Verma S, Meena A, Gothwal S. A Case of Rare Mullerian Anomaly—Functional Rudimentary Uterine Horn: As an Unusual Cause of Unilateral Dysmenorrhea in Postmenarchal Adolescent Girl. J South Asian Feder Obst Gynae 2012;4(1):56-58.

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Rupture of Non-communicating Rudimentary Horn Pregnancy at 15 Weeks with Previous Normal Pregnancies: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.5104 ◽

2020 ◽

Vol 58 (228) ◽

Author(s):

Sanyukta Rajbhandary ◽

Anamika Das ◽

Mausam Rai ◽

Archana Kumari Sah

Keyword(s):

Postoperative Recovery ◽

Emergency Laparotomy ◽

Intrauterine Pregnancy ◽

Rudimentary Horn ◽

Unicornuate Uterus ◽

Maternal Morbidity And Mortality ◽

Important Diagnostic Tool ◽

Mullerian Anomaly ◽

Low Sensitivity ◽

High Index Of Suspicion

Rudimentary horn is a mullerian anomaly that is a variant of unicornuate uterus. Rudimentary horn pregnancies are rare and associated with increased maternal morbidity and mortality. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with previous vaginal delivery is challenging. Although ultrasonography is an important diagnostic tool, it has low sensitivity in making diagnosis of ruptured rudimentary horn pregnancy. Therefore, clinicians should have high index of suspicion in such cases. We report a case of G3P2L2 at 15 weeks period of gestation referred to our centre as a case of intrauterine pregnancy with acute abdomen. She underwent emergency laparotomy and was found to have ruptured rudimentary horn intraoperatively. Excision of the ruptured rudimentary horn and ipsilateral salpingectomy was done and the patient had an uneventful postoperative recovery.

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Unicornuate Uterus with Functional Noncommunicating Rudimentary Horn - A Rare Mullerian Anomaly

Indian Journal Of Applied Research ◽

10.15373/2249555x/mar2012/70 ◽

2011 ◽

Vol 1 (6) ◽

pp. 207-208

Author(s):

Anju Kumari Rani ◽

◽

Anand Prakash ◽

Deepa Kapoor

Keyword(s):

Rudimentary Horn ◽

Unicornuate Uterus ◽

Mullerian Anomaly

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

Medical & Clinical Research ◽

10.33140/mcr.01.01.04 ◽

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.

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Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

BMC Women s Health ◽

10.1186/s12905-021-01404-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Iori Kisu ◽

Kanako Nakamura ◽

Tetsuro Shiraishi ◽

Tomoko Iijima ◽

Moito Iijima ◽

...

Keyword(s):

Quality Of Life ◽

Uterine Wall ◽

Septate Uterus ◽

Case Presentation ◽

Surgical Interventions ◽

Unicornuate Uterus ◽

Uterine Malformation ◽

Mullerian Anomaly ◽

Future Pregnancy

Abstract Background Robert’s uterus is a rare Mullerian anomaly, which can be described as an asymmetric, septate uterus with a non-communicating hemicavity. Herein, we present the case of a misdiagnosed Robert’s uterus, resulting in an invasive and disadvantageous surgery. Case presentation A 16-year-old woman was referred to our department because of dysmenorrhea and suspicion of uterine malformation. We misdiagnosed Robert’s uterus as a unicornuate uterus with a non-communicating rudimentary horn and hematometra, and performed laparoscopic hemi-hysterectomy. Although the patient’s symptoms were relieved, our surgical procedure left the lateral uterine wall weak, making the patient’s uterus susceptible to uterine rupture in any future pregnancy. Conclusions Although the early diagnosis of Robert’s uterus is challenging, it is important in order to determine appropriate surgical interventions and management for maintaining the quality of life and ensuring safety in future pregnancies.

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