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

Author(s):  
Pundalik Sonawane ◽  
Archana Waghela ◽  
Supriya Gaikwad

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.

Author(s):  
Arpita De ◽  
Renu Misra ◽  
Abhinav Jain

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.


Author(s):  
Arti Anand ◽  
Madhuri Chandra ◽  
Meeta Agarwal

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.


2021 ◽  
Vol 3 (5) ◽  
pp. 12-14
Author(s):  
M. Kaplanoglu

Imperforate hymen is a rare congenital female genital tract obstructive pathology. Although It is generally sporadic and isolated, very rare familial occurrence cases have been published in the literature. We present a rare case of the familial occurrence of IH and its surgical treatment. This case was admitted to our clinic with chronic pelvic pain, difficulty urination and pelvic mass. After the gynecologic examination and ultrasound view, the diagnosis of IH was made.  Her sister who two years older than she had been previously evaluated for amenorrhea and her sister had undergone surgical procedures for IH. Because of Hymen is an important symbol of virginity in family culture, hymen sparing surgery was performed. The familial occurrence of IH is a rare condition and very few reported cases in the literature. Hymenectomy can cause social retraction in cases therefore hymen sparing surgery is an important surgery, especially Muslim cultures.


Author(s):  
Mukta Agarwal ◽  
Hemali H. Sinha ◽  
. Anamika

Congenital malformations of female genital tract are frequently seen in Gynaecological clinics, incidence being upto 5-6% in cases of infertility. Most of these anomalies are related to uterus and vagina, abnormalities related to ovaries and fallopian tubes are of rare occurrence and the exact incidence of these anomalies are not known, only a few incidental case reports are available in literature. Here, we present a rare case report of absent mid- tubal segment of fallopian tube in a patient of infertility.


1988 ◽  
Vol 74 (2) ◽  
pp. 227-231 ◽  
Author(s):  
Fulvio Basolo ◽  
Raffaele Pingitore ◽  
Angelo Gadducci

We report an extremely rare case of a 60-year-old woman with myometrial osteosarcoma associated with bilateral papillary cystadenocarcinoma of the ovary and papillary adenocarcinoma of the cervix. The uterine osteosarcoma is the seventh case reported in the world, while it is the second case of syncronous triple primary tumors of the upper female genital tract. Clinical and pathological features of previously reported cases of uterine osteosarcoma and triple primary neoplasias of the upper female genital tract are critically reviewed.


2011 ◽  
Vol 3 (3) ◽  
pp. 155-156
Author(s):  
Rekha Choudhary ◽  
Suniti Verma ◽  
Gautam Ram Choudhary

ABSTRACT Congenital anomalies of the female genital tract result from müllerian duct anomalies and/or abnormalities of the urogenital sinus or cloaca. Due to the close developmental relationship between the genital and the urinary tracts, association of anomalies in both systems are common. This article reviews the appearance of developmental anomalies of the female urinary (hypospadias) and genital tracts and points out complication associated with bicornuate uterus. A 40-year-old primigravid woman conceived a pregnancy after 10 years of primary infertility. The prenatal course was uncomplicated. At 38 weeks’ gestation, she was successfully delivered by elective low transverse cesarean section.


2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Nikolaos Tsagkas ◽  
Androniki Troussa ◽  
George Vorgias ◽  
Olympia Tzaida ◽  
Nektaria Zagorianakou ◽  
...  

Extramedullary relapse of leukemia is encountered more often than in the past. The reason is that leukemia survival rates increase with improved treatment schemes. We present a rare case of involvement of the cervix of the uterus in an adult B Acute Lymphocytic Leukemia (B-ALL) survivor. Relapses affect various organs but rarely the female genital tract. Nevertheless, in this case, a woman with a history of induced amenorrhea due to treatment for leukemia presented to the gynecologist because of vaginal spotting. Colposcopy evaluation of the vagina/cervix, sonography and cytological and histological sampling established the diagnosis of leukemia relapse in the cervix of the uterus. Under these circumstances, our study highlights the rare extramedullary presentation of leukemia in the cervix of the uterus of a young lady considered to be disease-free and listed for bone marrow transplantation. In this rare case of relapse in the cervix of the uterus, Pap smears alarmed physicians, and radiology examinations assisted the diagnostic workup. Still, only biopsy, microscopic evaluation, and immunohistochemistry studies established the exact diagnosis. Prognosis in the situation of extramedullary disease relapse in the female genital tract was poor, but gynecologists’ high suspicion led to a prompt diagnosis. Survival is in general limited, but together with high suspicion, multidisciplinary team involvement is imperative to improve the reduced chances of survival.


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