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.

Differential diagnosis and management tactics in patients with a rare developmental Müllerian duct anomaly ACUM and a rudimentary uterine horn at early reproductive age

2021 ◽  
Vol 6_2021 ◽  
pp. 156-167
Author(s):  
Khashchenko E.P. Khashchenko ◽  
Allakhverdieva E.Z. Allakhverdieva ◽  
Arakelyan A.S. Arakelyan ◽  
Uvarova E.V. Uvarova E ◽  
Chuprynin V.D. Chuprynin ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Uterine Horn ◽  
Reproductive Age ◽  
Mullerian Duct ◽  
Müllerian Duct ◽  
Diagnosis And Management ◽  
Rudimentary Uterine Horn ◽  
Müllerian Duct Anomaly ◽  
Management Tactics

scholarly journals An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Elisabete Gonçalves ◽  
João Pedro Prata ◽  
Sandra Ferreira ◽  
Rita Abreu ◽  
Jorge Mesquita ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Uterine Cavity ◽  
Clinical Importance ◽  
Uterine Horn ◽  
Second Trimester ◽  
Review Of Literature ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Near Term

Unicornuate uterus occurs due to a complete or partial nondevelopment of one Mullerian duct; sometimes it is associated with a rudimentary horn, which can communicate or not with uterine cavity or contain functional endometrium. Pregnancy in a rudimentary horn is rare and the outcome almost always unfavorable, usually ending in rupture during the first or second trimester with significant morbidity and mortality. Despite the availability and advances on imagiologic procedures, recognition of this ectopic pregnancy is frequently made at laparotomy after abdominal pain and collapse. The authors describe a case of a primigravida with 34 weeks of gestation admitted with a preeclampsia with severity criteria. A cesarean for fetal malpresentation was done and, unexpectedly, a rudimentary horn pregnancy was found with a live newborn. In the literature, few reports of a horn pregnancy reaching the viability with a live newborn are described, enhancing the clinical importance of this case. A review of literature concerning the epidemics, clinical presentation, and appropriate management of uterine horn pregnancies is made.

scholarly journals Clinical Presentation and Diagnostic Dilemma in Management of Unicornuate Uterus with Canalised Rudimentary Horn- A Case Series

2021 ◽  
Author(s):  
C Sathyavani ◽  
HS Shruthi
Keyword(s):  
Wide Spectrum ◽  
Case Series ◽  
Mullerian Duct ◽  
Diagnostic Dilemma ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Clinical Complications ◽  
High Clinical Suspicion ◽  
Rudimentary Uterine Horn

A unicornuate uterus is the result of abnormal or failed development of one Mullerian duct. Partial development of one Mullerian duct leads to a rudimentary uterine horn. This can lead to various gynaecological and obstetric problems and diagnostic dilemma. Over the past ten years, the authors have witnessed about eight cases of unicornuate uterus with canalised rudimentary horn presenting as a wide spectrum of obstetric and gynaecological problems. Two cases presented as dysmenorrhoea, one was diagnosed as a part of infertility work-up and the rest presented with varied obstetric complications. Most of the cases underwent excision of the rudimentary horn with unilateral salpingectomy. High clinical suspicion and knowledge about varied presentation is important for early diagnosis in such cases and to avert the clinical complications.

scholarly journals Cornual Ectopic Pregnancy, Which Had Continued to Full Term; Deliver a Healthy Fetus

2019 ◽  
Vol I (1) ◽  
pp. 18-20
Author(s):  
Marina J Al Ata Allah
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Full Term ◽  
Mullerian Duct ◽  
Mortality And Morbidity ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Pregnancy Diagnosis ◽  
Müllerian Duct Anomaly

Rudimentary horn pregnancy is a rare ectopic pregnancy in uterine horn caused by abnormal or failed development of one Müllerian duct with a healthy fetus. A significant number of cases reported an incidence of 1 in 76,000 and 1 in 150,000 and some cases are not detected. Timely management of rudimentary horn pregnancy is pivotal in reducing mortality and morbidity. This study is designed to present a case of live 36-week primary horn ectopic pregnancy diagnosis using Ultrasound. Serum B-HCG levels normalized on postoperative first month. Keywords: Cornual ectopic pregnancy, Healthy fetus, Müllerian duct anomaly Rudimentary horn.

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 Cornual Ectopic Pregnancy, Which Had Continued to Full Term; Deliver a Healthy Fetus

2019 ◽  
Vol I (1) ◽  
pp. 18-20
Author(s):  
Marina J Al Ata Allah
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Full Term ◽  
Mullerian Duct ◽  
Mortality And Morbidity ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Pregnancy Diagnosis

Rudimentary horn pregnancy is a rare ectopic pregnancy in uterine horn caused by abnormal or failed development of one Müllerian duct with a healthy fetus. A significant number of cases reported an incidence of 1 in 76,000 and 1 in 150,000 and some cases are not detected. Timely management of rudimentary horn pregnancy is pivotal in reducing mortality and morbidity. This study is designed to present a case of live 36-week primary horn ectopic pregnancy diagnosis using Ultrasound. Serum B-HCG levels normalized on postoperative first month.

scholarly journals MULLERIAN DUCT ANOMALIES;

2012 ◽  
Vol 19 (05) ◽  
pp. 723-729
Author(s):  
SARWAT ARA ◽  
TASNEEM ALI
Keyword(s):  
Renal Agenesis ◽  
Case Series ◽  
Mullerian Duct ◽  
Unilateral Renal Agenesis ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Müllerian Duct Anomalies ◽  
Mullerian Duct Anomalies ◽  
High Index Of Suspicion

Background: Müllerian duct anomalies (MDAs) occur with an incidence estimated to be 4.3%. A unicornuate uterus with orwithout a rudimentary horn; is a type of mullerian duct abnormality with a frequency of 0.4%. Rudimentary horn pregnancies are rare obstetriccomplication and may cause difficulty in diagnosis and subsequent management. Objective: To alert about Mullerian duct abnormalitiesespecially unicornuate uterus with or without rudimentary horn. Design: Case series. Setting: Study was conducted in the department ofGynecology and obstetrics unit1, Allied Hospital Faisalabad. Duration of study: Cases detected during September 2006-0ctober 2011.Subjects and methods: All admitted cases of MDA whether obstetric or gynecological were included. We calculated cases of unicornuateUterus with or without rudimentary horn, also included cases of rudimentary horn pregnancy with or without rupture. Results: There were120cases of MDA out of which 8 (6.6%) were of unicornuate uterus. Out of 8 unicornuate uteri, 7/8 (87.5%) were with rudimentary horn and1/8(12.5%) without rudimentary horn. Left rudimentary horn in 4/8 patient (50%), right in 3/8 (37.5%) without horn1/8 (12.5%).Out of 7 rudimentaryhorn 1/7 gynecologic and 6/7 were obstetric, 5/7 (71.42%) ruptured in second trimester, and1/7 (14.28%) term pregnancy. In 1/7 (14.28%) hornnot removed because tubal ligation was done. Unilateral renal agenesis was present in 3/8 patient (37.5 %). Ovaries were preserved in 3/7patients (66%). Conclusions: There must be high index of suspicion for Mullerian duct abnormalities especially rudimentary horn for achievinggood success in diagnosis and management.

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

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.

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.

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