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 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 Ruptured Rudimentary Horn Pregnancy at 25 Weeks with Previous Vaginal Delivery: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Deepa V. Kanagal ◽  
Lokeshchandra C. Hanumanalu
Keyword(s):  
Vaginal Delivery ◽  
Contralateral Side ◽  
Incomplete Fusion ◽  
Second Trimester ◽  
Intrauterine Pregnancy ◽  
Fetal Demise ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Mullerian Ducts ◽  
High Index Of Suspicion

Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the Mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in a noncommunicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with prior vaginal delivery is difficult. It can be missed in routine ultrasound scan and in majority of cases it is detected after rupture. It requires a high index of suspicion. We report a case of G2PlL1 with rupture rudimentary horn pregnancy at 25 weeks of gestation which was misdiagnosed as intrauterine pregnancy with fetal demise by ultrasound, and termination was attempted and the case was later referred to our hospital after the patient developed hemoperitoneum and shock with a diagnosis of rupture uterus. Laparotomy revealed rupture of right rudimentary horn pregnancy with massive hemoperitoneum. Timely laparotomy, excision of the horn, and blood transfusion saved the patient.

scholarly journals Rudimentary Horn Pregnancy Diagnosed after Laparotomy

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Kurabachew Mengistu ◽  
Tufa Bobe ◽  
Gashaw Tilahun ◽  
Kibru Kifle ◽  
Dereje Geleta
Keyword(s):  
New Technologies ◽  
Postoperative Recovery ◽  
Fetal Demise ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Uneventful Postoperative Recovery ◽  
Mullerian Ducts ◽  
Primary Hospital ◽  
Ultrasound Assessment

Müllerian abnormalities are present in 0.17% of fertile women and 3.5% of infertile women, and a unicornuate uterus is observed in 0.4% of women. The uterus is normally formed during embryogenesis by the fusion of the two Müllerian ducts. If one of the ducts does not develop, only one Müllerian duct contributes to the uterine development. We report a case of Gravida II, abortion I referred from a primary hospital with a referral paper and sonography stating she had IUFD. She had regular antenatal care follow-up at the primary hospital and had 8 months of amenorrhea. Our ultrasound assessment confirmed the intrauterine fetal demise, but the rudimentary horn pregnancy was missed. Repeated attempts at the induction of labor were tried but unsuccessful. The diagnosis was confirmed at laparotomy. She underwent cesarean section with right intact rudimentary horn removal. A nonviable male fetus with birth weight of 1.2 kg was delivered. Women with this abnormality are asymptomatic and unaware of having a unicornuate uterus. Abdominal pain is the most common presenting symptom with the rudimentary horn, but communicating horn pregnancy is generally asymptomatic in early pregnancy. Early awareness of this rare clinical condition is so crucial especially in developing countries where the availability of new technologies is scarce to explore uterine abnormalities. The patient had uneventful postoperative recovery and was discharged after 3 postoperative days.

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

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.

scholarly journals A rare case of pregnancy in the rudimentary horn of unicornuate uterus (on table diagnosis): a case report

2019 ◽  
Vol 8 (3) ◽  
pp. 1190
Author(s):  
Suman Kumari ◽  
Pratiksha Gupta ◽  
Jyoti . ◽  
Pooja Sharma
Keyword(s):  
Surgical Excision ◽  
Contralateral Side ◽  
Incomplete Fusion ◽  
Fetal Demise ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Ectopic Gestation ◽  
Mullerian Ducts ◽  
Life Threatening ◽  
Failed Induction

A rudimentary horn with a unicornuate uterus results due to failure of the complete development of one of the Mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in non-communicating rudimentary horn of unicornuate uterus is a rare form of ectopic gestation and it carries grave consequences for mother and the fetus. The most dreaded complication is rupture during pregnancy which can be life threatening to the mother. The continuation of pregnancy is rare till 3rd trimester and usually ruptures in 2nd trimester. The primary strategy of the management is surgical excision of the rudimentary horn. Here is a case of 24year old, gravida1 with unruptured rudimentary horn pregnancy at gestational age 28 weeks diagnosed on table. IOL (induction of labour) was done with misoprostol for fetal demise and later cesarean section done in view of failed induction. Laparotomy was done and dead fetus with placenta delivered followed by excision of the rudimentary horn. The post-operative period was uneventful. This highlights the need   of an increased awareness of this condition especially in developing countries where most pregnancy are unbooked and uninvestigated as in present case.

scholarly journals Unruptured ectopic pregnancy in rudimentary horn of unicornuate uterus at fourteen weeks with previous vaginal delivery

2020 ◽  
Vol 9 (12) ◽  
pp. 5166
Author(s):  
Jaydip Hindocha ◽  
Sneh Sonaiya
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Peritoneal Lavage ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Left Iliac Fossa ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Mullerian Ducts

Unicornuate uterus with a rudimentary horn is an anomaly of the mullerian duct and is an extremely rare condition. This condition results when one of the paired mullerian ducts fails to fuse completely. Its incidence is estimated to be one in 76,000 pregnancies.Pregnancy in the rudimentary horn of the unicornuate uterus is difficult to diagnose on ultrasound and can be easily missed out. Hence the pregnancy usually gets detected after rupture when the mother presents with the complaint of severe abdominal pain. This is a case report of a 24 year old G2P1A0L1 female who presented to us with complaints of tenderness in the left iliac fossa and mild abdominal distention. Clinical examinations, radiological investigations, and exploratory laparotomy revealed a unicornuate uterus with an unruptured left rudimentary horn pregnancy at 14 weeks with mild hemoperitoneum. Following the exploratory laparotomy, excision of the left rudimentary horn and thorough peritoneal lavage was performed.

scholarly journals A Rare Case of Recurrent Non-Communicating Rudimentary Horn Pregnancy

2019 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Standard Treatment ◽  
Surgical Excision ◽  
First Trimester ◽  
Contralateral Side ◽  
Incomplete Fusion ◽  
Complete Excision ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Mullerian Ducts

Introduction: A unicornuate uterus with a rudimentary horn is a uterine anomaly resulting from the incomplete development of one of the Müllerian ducts and an incomplete fusion with the contralateral side. Pregnancy in a rudimentary horn of the uterus is a rare clinical condition with a reported incidence of 1 in 100,000 to 140,000 pregnancies. It carries grave consequences for the mother and fetus as the diagnosis may be missed and subsequently result in an emergency due to spontaneous rupture of the enlarging rudimentary horn and massive intraabdominal bleeding. The standard treatment is the surgical excision of the rudimentary horn. The authors present a case of a rare recurrent rudimentary horn pregnancy that contained a viable pregnancy diagnosed in first trimester and managed with complete excision of the rudimentary horn along with the pregnancy in-situ.

scholarly journals Unicornuate Uterus with Rudimentary Horn and Complicated with Endometriosis

2016 ◽  
Author(s):  
Liva Wijaya
Keyword(s):  
Abdominal Pain ◽  
Ovarian Tumor ◽  
Obstet Gynecol ◽  
Congenital Abnormalities ◽  
Visual Analogue Score ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Comprehensive Examination ◽  
Mullerian Ducts ◽  
Endometrial Cyst

Objective: To report the congenital abnormalities of müllerian duct and review its literature. Methods: Case report. Case: A sixteen years old unmarried woman came to our policlinic with chief complain of cyclical abdominal pain (VAS 6). She had regular menstruation. In other hospital, she had diagnosed as suffering from ovarian tumor. Our examination showed that the uterus was unicornuate with rudimentary horn. We did explorative laparotomy. We took out the left cornu and left salpingoophorectomy due to hematosalphing and endometrial cyst. The Visual analogue score after surgery was reduced until VAS 2. Conclusion: Congenital abnormalities of the müllerian ducts are relatively common. Comprehensive examination can diagnose this abnormality earlier, thus intervention can be given as soon as possible. [Indones J Obstet Gynecol 2013; 1-4: 215-8] Keywords: abnormalities müllerian ductus, endometriosis

scholarly journals An unusual case of ruptured noncommunicating rudimentary horn pregnancy at 10 weeks

2020 ◽  
Vol 9 (2) ◽  
pp. 839
Author(s):  
Kiran Pande ◽  
Angela Yadav
Keyword(s):  
Maternal Morbidity ◽  
Unusual Case ◽  
Incomplete Fusion ◽  
Second Trimester ◽  
Catastrophic Event ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Maternal Morbidity And Mortality ◽  
Mullerian Ducts ◽  
High Index Of Suspicion

Unicornuate uterus with noncommunicating rudimentary horn occurs due to incomplete fusion of mullerian ducts. Pregnancy in this horn is a rare phenomenon usually resulting in rupture during second trimester of pregnancy. Prerupture diagnosis of pregnancy in rudimentary horn with ultrasonography is technically difficult, with sensitivity of 30%. We report a case of ruptured non-communicating rudimentary horn at 10 weeks 3 days in a woman. She had a routine USG before pregnancy in which diagnosis was missed. Later she presented to emergency in shock, with massive hemoperitoneum and ruptured horn. So, a high index of suspicion is required to save this catastrophic event and associated maternal morbidity and mortality.

Sign in / Sign up

Export Citation Format

Share Document