Uterine rupture of a non-communicating rudimentary horn pregnancy with resultant successful outcome of an extremely premature baby born at 24 weeks of gestation

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Satyaranjan Pegu ◽  
Bakul Deb ◽  
Tara Peters ◽  
Darrien Rattray
Keyword(s):  
High Risk ◽  
Uterine Rupture ◽  
Premature Baby ◽  
Uterine Horn ◽  
Successful Outcome ◽  
Mullerian Anomalies ◽  
Rudimentary Horn ◽  
Müllerian Anomalies ◽  
Unicornuate Uterus ◽  
Reproductive Aged Women

Abstract Mullerian anomalies occur in about 0.5% of reproductive-aged women; many remain asymptomatic only being discovered during surgery or on imaging done for unrelated reasons. These result from the abnormal formation, fusion or resorption of the mullerian duct during development. A unicornuate uterus with a rudimentary horn is one of the rarer subtypes, with such anomalies making up about 5% of all mullerian anomalies. Pregnancy in a non-communicating uterine horn (NCUH) is extremely rare, with an incidence between 1:100,000 and 1:140,000. There is a high risk of uterine rupture if pregnancy occurs in a non-communicating uterine horn. We present here a case of a non-communicating rudimentary horn pregnancy, with a successful outcome.

scholarly journals Ruptured ectopic pregnancy in a non-communicating rudimentary horn of a unicornuate uterus: A case report

2017 ◽  
Vol 5 (4) ◽  
pp. 78-80
Author(s):  
S Kaudel
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Uterine Rupture ◽  
Second Trimester ◽  
Mullerian Anomalies ◽  
Rudimentary Horn ◽  
Müllerian Anomalies ◽  
Unicornuate Uterus ◽  
Scarred Uterus

Uterine rupture in first and second trimester in a non-scarred uterus is usually associated with Mullerian anomalies like rudimentary horn pregnancy. Such rudimentary horn pregnancy is difficult to diagnose antenatally but it carries grave consequences for the mother and fetus. Here is a case of undiagnosed ruptured rudimentary horn pregnancy in unicornuate uterus in Gravida 2 Para 0+1 lady at 18 week gestation who was admitted in Emergency with Shock and diagnosis was confirmed at laparotomy. 

scholarly journals A rare case of unicornuate uterus with non communicating rudimentary horn containing functional endometrium

2018 ◽  
Vol 7 (12) ◽  
pp. 5182
Author(s):  
Priyanka Priyanka ◽  
Harbhajan Shergill ◽  
Romi Bansal ◽  
Mohini Aggarwal
Keyword(s):  
Severe Pain ◽  
Rare Case ◽  
Lower Abdomen ◽  
Rare Type ◽  
Mullerian Anomalies ◽  
Rudimentary Horn ◽  
Müllerian Anomalies ◽  
Unicornuate Uterus ◽  
Chief Complaints ◽  
Multiple Episodes

Unicornuate uterus with rudimentary horn is a rare type of anomaly. The incidence is approximately 1/100,000. Mullerian anomalies are associated with many obstetrical and gynecological complications. Non-communicating and functional rudimentary horn can cause severe pain in abdomen due to accumulation of the blood causing its distension. Authors report a case of 25 years old patient with unicornuate uterus with non-communicating rudimentary horn containing functional endometrium presenting with chief complaints of severe pain in lower abdomen associated with multiple episodes of vomiting.

scholarly journals Management of Second Trimester Fetal Demise in a Noncommunicating Uterine Horn

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
R. Tyler Hillman ◽  
Homer G. Chin ◽  
Sheila K. Mody
Keyword(s):  
Pregnancy Termination ◽  
Uterine Horn ◽  
Imaging Studies ◽  
Fetal Demise ◽  
Operative Strategy ◽  
Mullerian Anomalies ◽  
Müllerian Anomalies ◽  
Unintended Pregnancies ◽  
Unicornuate Uterus ◽  
Uterine Anomalies

Müllerian anomalies are uncommon but when present they can increase the risk of obstetrical complications. Anomalies such as bicornuate and unicornuate uterus can also increase the surgical risks of pregnancy termination. The diagnostic approach and surgical management must be individualized for each patient so that the termination procedure is safe and preserves fertility. We present a case of a patient with a 17-week pregnancy with fetal demise in a noncommunicating right uterine horn. Laparotomy and hysterotomy were required for evacuation of the fetus. The use of appropriate imaging studies to diagnose suspected uterine anomalies and a flexible and individualized operative strategy are essential for reducing complications associated with the termination of abnormal or unintended pregnancies in women with Müllerian anomalies.

scholarly journals Co-Existence of a Rudimentary Non-Communicating Horn with a Unicornuate Uterus in Association with 2 Components of the VACTERL Association: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Jose D Roman ◽  
Jose D Roman
Keyword(s):  
High Risk ◽  
Anorectal Malformations ◽  
Uterine Horn ◽  
Vacterl Association ◽  
Renal Anomalies ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Uterine Anomalies ◽  
Vertebral Anomalies

The prevalence of congenital uterine anomalies has been reported as 6.7% in the general population. The unicornuate uterus accounts for 2.4-13% of all Mullerian anomalies and has a prevalence of 1:1000. A unicornuate uterus may be present alone or with a rudimentary horn and 75-90% of rudimentary horns are non-communicating. A pregnancy in the rudimentary horn may lead to uterine rupture, haemoperitoneum with a high risk of maternal mortality. The association of a unicornuate uterus with a non-communicating uterine horn to the VACTERL association of defects (vertebral anomalies, anorectal malformations, cardiovascular anomalies, tracheoesophageal fistula, esophageal atresia, renal anomalies and limb defects) has been described only twice in the literature. We report a patient who was born with an extra thumb and had a trachea-bronchial remnant with oesophageal stenosis that were both operated on earlier, and they were associated with a non-communicating rudimentary uterine horn. To the best of our knowledge, this is the third case reported in the literature of a VACTERL association to a unicornuate uterus with a non-communicating functional rudimentary horn. Given the high risk for the patient if pregnant an early diagnosis is paramount. This case highlights the importance of considering Mullerian defects in the young patient born with components of the VACTERL association.

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.

scholarly journals Unicornuate uterus with functional non communicating rudimentary horn: a refractory cause of dysmenorrhea

2020 ◽  
Vol 9 (2) ◽  
pp. 874
Author(s):  
Manju Agarwal ◽  
Rakhee Soni ◽  
Madhureema Verma
Keyword(s):  
Uterine Cavity ◽  
Signs And Symptoms ◽  
Uterine Horn ◽  
Mullerian Duct ◽  
Rare Type ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Müllerian Duct Anomaly

Mullerian duct anomalies are rare. Unicornuate uterus with a non-communicating rudimentary horn is a rare type of mullerian duct anomaly which occurs due to defective fusion of malformed duct with contralateral duct. The incidence is approximately 1:100000. Patient usually remain asymptomatic due to the absence of functional endometrium in most of the cases. If the rudimentary uterine horn has an endometrium lined uterine cavity and doesn’t communicate externally then the signs and symptoms of obstructed menstruation appears, as soon as menarche begins. It will be associated with severe dysmennorhoea and hematometra. Other complications may be abdominal lump, chronic pelvic pain, infertility, endometriosis, adenomyosis and ectopic pregnancy in rudimentary horn. Authors are presenting a case of refractory dysmenorrhea with lump abdomen in a patient with unicornuate uterus with functional non communicating horn. In a patient with refractory dysmenorrhea mullerian duct anomaly should be kept as differential diagnosis.

scholarly journals Pregnancy in Non-Communicating Unicornuate Uterus: Diagnosis Difficulty and Outcomes – a Case Report

2017 ◽  
Vol 39 (11) ◽  
pp. 640-644 ◽  
Author(s):  
Camila Souza ◽  
Gabriela Dorneles ◽  
Giana Mendonça ◽  
Caroline Santos ◽  
Francisco Gallarreta ◽  
...  
Keyword(s):  
Case Report ◽  
Uterine Rupture ◽  
Intrauterine Growth Restriction ◽  
Delayed Diagnosis ◽  
Pregnancy Induced Hypertension ◽  
Cesarean Sections ◽  
Rudimentary Horn ◽  
Intrauterine Growth ◽  
Unicornuate Uterus ◽  
Induced Hypertension

AbstractApproximately 1 in every 76,000 pregnancies develops within a unicornuate uterus with a rudimentary horn. Müllerian uterus anomalies are often asymptomatic, thus, the diagnosis is a challenge, and it is usually made during the gestation or due to its complications, such as uterine rupture, pregnancy-induced hypertension, antepartum, postpartum bleeding and intrauterine growth restriction (IUGR). In order to avoid unnecessary cesarean sections and the risks they involve, the physicians should consider the several approaches and for how long it is feasible to perform labor induction in suspected cases of pregnancy in a unicornuate uterus with a rudimentary horn, despite the rarity of the anomaly. This report describes a case of a unicornuate uterus in which a pregnancy developed in the non-communicating rudimentary horn and the consequences of the delayed diagnosis.

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 Velamentous and Furcate Cord Insertion with Placenta Accreta in an IVF Pregnancy with Unicornuate Uterus

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Mehmet Tunç Canda ◽  
Namık Demir ◽  
Latife Doganay
Keyword(s):  
Umbilical Cord ◽  
Assisted Reproductive Technologies ◽  
Placenta Accreta ◽  
Reproductive Technologies ◽  
Mullerian Anomalies ◽  
Müllerian Anomalies ◽  
Unicornuate Uterus ◽  
Life Threatening ◽  
Umbilical Cord Insertion ◽  
Life Threatening Event

Velamentous and furcate cord insertion with concomitant placenta accreta is a very rare and life-threatening event of pregnancy for both the mother and the fetus. Obstetricians should be cautious about umbilical cord insertion and placental adherence abnormalities in pregnancies conceived by assisted reproductive technologies (ART) particularly in women with Müllerian anomalies.

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