scholarly journals Laparoscopic Approach of a Unicornuate Uterus with Noncommunicating Rudimentary Horns

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Lidia Rosi Medeiros ◽  
Daniela Dornelles Rosa ◽  
Fabio Rosa Silva ◽  
Bruno Rosa Silva ◽  
Maria Ines Rosa
Keyword(s):  
Pelvic Pain ◽  
Congenital Anomalies ◽  
Laparoscopic Approach ◽  
Incomplete Fusion ◽  
Arrested Development ◽  
Rudimentary Horn ◽  
Diagnosis And Management ◽  
Unicornuate Uterus ◽  
Mullerian Anomaly ◽  
Successful Approach

Background. Müllerian duct malformations delineate a miscellaneous group of congenital anomalies that result from arrested development, abnormal formation, or incomplete fusion of the mesonephric ducts. Case. This paper describes the diagnosis and management of a noncommunicating rudimentary horn complicated by severe pelvic pain and associated endometriosis. Conclusion. This condition was diagnosed by laparoscopy and hysteroscopy examination. Operative videolaparoscopy proved to be a successful approach for the treatment of this congenital Müllerian anomaly.

scholarly journals Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: Prerupture diagnosis and management

2016 ◽  
Vol 55 (4) ◽  
pp. 604-606 ◽  
Author(s):  
Yu-Ju Lai ◽  
Chen-Hsien Lin ◽  
Wen-Chien Hou ◽  
Kwei-Shuai Hwang ◽  
Mu-Hsien Yu ◽  
...  
Keyword(s):  
Rudimentary Horn ◽  
Diagnosis And Management ◽  
Unicornuate Uterus

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 A case report on ruptured rudimentary horn ectopic pregnancy

2021 ◽  
Vol 10 (6) ◽  
pp. 2504
Author(s):  
Milan R. Shingala ◽  
Bhavesh B. Airao
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Condition ◽  
First Trimester ◽  
Normal Pregnancy ◽  
Incomplete Fusion ◽  
Lateral Side ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Wide Range ◽  
Laparoscopic Excision

Unicornuate uterus with noncommunicating rudimentary horn occurs due to incomplete fusion of mullerian ducts. This malformation results from the defective fusion of the duct with the contra-lateral side. This rudimentary horn may or may not have functional cavity. Pregnancy in this horn is a rare phenomenon usually resulting in rupture during second trimester of pregnancy. IT is a rare condition that can lead to a catastrophic outcome when it rupture. Prerupture diagnosis of pregnancy in rudimentary horn with ultrasonography is technically difficult, with sensitivity of 30%. Pregnant rudimentary horn can present with wide range of symptoms that may be similar to ectopic pregnancy or may remain silent with features of normal pregnancy.1-2 We report a case of ruptured non-communicating rudimentary horn at 19 weeks in pregnant lady. In our opinion, routine excision of rudimentary horn should be undertaken during non-pregnant state laparoscopically. However, those women who refuse should be adequately counselled regarding potential complications and if pregnancy occurs in rudimentary horn, first trimester laparoscopic excision should be done.

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 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 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.

scholarly journals A CASE OF FUNCTIONING NON COMMUNICATING RUDIMENTARY HORN WITH UNICORNUATE UTERUS: AN UNUSUAL CAUSE OF SECONDARY DYSMENORRHEA IN A PERIMENOPAUSAL WOMAN.

2020 ◽  
pp. 141-142
Author(s):  
Pushpalatha K ◽  
Patel Shweta ◽  
Pagare Priyanka ◽  
Sharma Tanya
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Adnexal Mass ◽  
Incomplete Fusion ◽  
Imaging Studies ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Uterine Malformation ◽  
History Of ◽  
Secondary Dysmenorrhea

Mullerian duct malformations represent a miscellaneous group of congenital anomalies that result from the arrested development, abnormal formation or incomplete fusion of the paramesonephric ducts. Congenital Mullerian abnormalities usually present at adolescent age with menstrual irregulari¬ty, dysmenorrhea, infertility and recurrent pregnancy loss. The Unicornuate uterus is a rare uterine malformation which usually features a rudimentary accessory horn with or without functioning endometrium. We are presenting a case of perimenopausal multiparous patient who had history of secondary dysmenorrhea diagnosed with endometrioma on imaging studies, but on laparotomy incidentally found to have Unicornuate uterus with functioning noncommunicating rudimentary horn leading to hematometra and hematosalpinx. The objective of this clinical case report is to highlight this rare Mullerian malformation as a differential diagnosis of secondary dysmenorrhea, chronic pelvic pain or adnexal mass in perimenopausal age group females.

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.

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