Reconstructive And Conservative Surgery by Tubal Implantation in Mullerian Anomalies – A Case Report

Pregnancy in rudimentary uterine horn has been reported to be very rare in literature, and is associated with adverse complications. Furthermore, it is also difficult to diagnose, and in most cases, is diagnosed after being ruptured. A case of ruptured rudimentary uterine horn pregnancy presented at Elsaudi Maternity Hospital (Sudan). Despite her recurrent presentation for persistent suprapubic pain and frequent ultrasound scans, the uterine horn pregnancy was not detected, and the diagnosis was made during laparotomy as her condition started to deteriorate progressively due to massive internal bleeding from the ruptured uterine horn. Keywords: rudimentary uterine horn pregnancy, ectopic pregnancy, Mullerian anomalies, early pregnancy complication

Download Full-text

Pregnancy in a didelphic uterus: a case report of an unusual phenomenon and review of literature

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210753 ◽

2021 ◽

Vol 10 (3) ◽

pp. 1162

Author(s):

Emmanuel Ekanem ◽

Lalrinawmi Lalrinawmi ◽

Anita Sinha ◽

Tamer Abdelrazik

Keyword(s):

Case Report ◽

Surgical Management ◽

Case Reports ◽

Uterine Cavity ◽

The Body ◽

Uterine Perforation ◽

Mullerian Anomalies ◽

Müllerian Anomalies ◽

Unusual Phenomenon ◽

Repeat Examination

Mullerian anomalies are defects in the embryological development of the urogenital systems as these organs begin to form at about the 5 and 6th week of intrauterine life. Uterine didelphys is one of the Mullerian or paramesonephric duct anomalies occurring as a result of duplication of the uterine canal with two cervical canals and a single vagina. The incidence uterine didelphys has been quoted as 1 in 2000 women. This case report elucidates the presentation of a multiparous lady with uterine didelphys who has a had a previous successful pregnancy in of the uterine canals but presented in the second pregnancy with a missed miscarriage at 12 weeks gestational age. She also has a single right kidney. These were all diagnosed on ultrasound scan. She had an initial unsuccessful surgical management of miscarriage with uterine perforation of one of the uterine cavities, hysteroscopy and diagnostic laparoscopy and subsequently had a repeat examination under anaesthesia and second attempt at evacuation of retained products or a laparoscopy plus hysterotomy. This was particularly challenging as the cervix was flushed with the vaginal vault making delineating and dilatation of the cervical OS difficult hence sustaining a perforation of the left uterine cavity. The second attempt of surgical management was successful, and she was subsequently discharged. This is one of the few case reports in literature and will further add credence to the body of knowledge of a different aspect to the presentation and management of cases of Mullerian anomalies.

Download Full-text

Ruptured ectopic pregnancy in a non-communicating rudimentary horn of a unicornuate uterus: A case report

Journal of Chitwan Medical College ◽

10.3126/jcmc.v5i4.16559 ◽

2017 ◽

Vol 5 (4) ◽

pp. 78-80

Author(s):

S Kaudel

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Uterine Rupture ◽

Second Trimester ◽

Mullerian Anomalies ◽

Rudimentary Horn ◽

Müllerian Anomalies ◽

Unicornuate Uterus ◽

Scarred Uterus

Uterine rupture in first and second trimester in a non-scarred uterus is usually associated with Mullerian anomalies like rudimentary horn pregnancy. Such rudimentary horn pregnancy is difficult to diagnose antenatally but it carries grave consequences for the mother and fetus. Here is a case of undiagnosed ruptured rudimentary horn pregnancy in unicornuate uterus in Gravida 2 Para 0+1 lady at 18 week gestation who was admitted in Emergency with Shock and diagnosis was confirmed at laparotomy.

Download Full-text