scholarly journals A case of unicornuate uterus with a non-communicating rudimentary uterine horn, with adenomyosis, managed with laparoscopic surgery

2020 ◽  
Vol 36 (2) ◽  
pp. 163-169
Author(s):  
Maho Shimizu ◽  
Keitaro Yamanaka ◽  
Keiichi Washio ◽  
Ryosuke Takahashi ◽  
Satoshi Nagamata ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Uterine Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn

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.

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 A rare form of Mayer–Rokitansky–Küster–Hauser syndrome associated with ovarian endometrioma: a case report

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Antoine Naem ◽  
Anwar Shamandi ◽  
Bashar AL-Kurdy
Keyword(s):  
Ovarian Cancer ◽  
Uterine Horn ◽  
Primary Amenorrhea ◽  
Rare Form ◽  
Live Births ◽  
Unicornuate Uterus ◽  
Ovarian Endometrioma ◽  
Rudimentary Uterine Horn ◽  
Ovarian Endometriomas ◽  
Exploratory Laparoscopy

Abstract Mayer–Rokitansky–Küster–Hauser syndrome is a congenital malformation that affects the uterus and upper two-thirds of the vagina. Its prevalence is estimated to be 1 in 4500 live births. We present the case of a 19-year-old patient that presented with primary amenorrhea and cyclic abdominal pain. Upon the exploratory laparoscopy, a right rudimentary uterine horn and left unicornuate uterus were found. These two entities were completely separated from each other and from the vaginal vault. In addition, a left ovarian endometrioma was also found. The unicornuate uterus was resected with an intent to resolve the pain. Endometriosis is known to raise the risk of ovarian cancer by 50%. Therefore, a left salpingo-oophorectomy was performed to minimize the risk of ovarian cancer and endometriosis recurrence. In conclusion, ovarian endometriomas should be suspected when obstructive malformations are present with active endometrial remnants. These lesions should be managed appropriately to optimize the postoperative outcomes.

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.

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