Pregnancy in Non-communicating Rudimentary Horn of Unicornuate Uterus: A Case Report (original) (raw)
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Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: a case report
Cases Journal, 2009
Pregnancy in the rudimentary horn is rare and carries grave consequences for the mother and fetus. A case report is presented of a 26 year old single gravida 3 para 0 +2 lady with rupture of a rudimentary horn pregnancy at a gestational age of 20 weeks. Laparotomy was done and the rudimentary horn excised. Post-operative recovery was uneventful. The need for a high index of suspicion and the role of ultrasonography in the accurate diagnosis is highlighted.
Case Report Pregnancy in Non-Communicating Rudimentary Horn of A Unicornuate Uterus
Volume 11, Number 4, Jan-Mar 2018
with diagnosis of rudimentary horn pregnancy (RHP) at 14 weeks of gestation. We diagnosed her with a normal intrauterine pregnancy, whereas a pregnancy in a right-sided non-communicating rudimentary horn with massive he-moperitoneum was later discovered on laparotomy. RHP has a high risk of death for mother, so there must be a strong and other imaging modalities, prenatal diagnosis has remained elusive and a laparotomy surgery is considered as a Citation: Kaveh M, Mehdizadeh Kashi A, Sadegi K, Forghani F. Pregnancy in non-communicating rudimentary horn of a unicornuate uterus. Int J Fertil Steril. 2018; 11(4): 318-320.
Pregnancy in unicornuate uterus without rudimentary horn: a case report
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2020
A unicornuate uterus is associated with numerous obstetric and gynaecological complications such as infertility, endometriosis, miscarriage, malpresentations, and intrauterine growth restriction. Around 2.3-13% of Mullerian duct anomalies present as unicornuate uterus. Management of unicornuate uterus is still uncertain and it leads to poorer pregnancy outcome. We present here a case of 26-year-old primigravida who presented to us with 40-weeks pregnancy associated with breech presentation. She was taken for elective caesarean section and intra-operatively she was found to have unicornuate uterus without rudimentary horn. Unicornuate uterus is associated with poor pregnancy outcome but a successful pregnancy is possible. Usual presentation of patients with unicornuate uterus is near their menarche and they have higher than usual gynaecological complications. Pregnancies in unicornuate uterus are prone to intra uterine growth restriction hence serial ultrasound should be done for reg...
A Case Report of Successful Pregnancy Outcome in Unicornuate Uterus with Rudimentary Horn
Journal of Evolution of Medical and Dental Sciences, 2015
Unicornuate uterus with rudimentary horn is developmental anomaly which occurs due to abnormal or failed development of one of the paired mullerian duct or fusion of the ducts. Rudimentary horn can be communicating or non-communicating. Non communicating rudimentary horn (90%) is more common type. Women with unicornuate uterus have increased incidence of obstetric complications like spontaneous abortions, preterm delivery and intrauterine foetal demise and Gynaecological complications like infertility, endometriosis and dysmenorrhoea. We here present a case of 25yrs, G2P1D1 on admission 32 weeks 3days by LMP and 31weeks 0 days by USG of 7weeks with Rh negative pregnancy with HBsAg reactive status with severe oligohydramnios (AFI-5cm) with symmetric IUGR admitted for observation. Emergency LSCS was done on day 15 of admission i/v/o colour Doppler s/o placental insufficiency and intraoperatively patient was found to have unicornuate uterus with rudimentary horn and baby was male 1.4kg cried immediately after birth. CONCLUSION: If pregnancy with unicornuate uterus with rudimentary horn managed well it can result in favourable obstetric outcome.
Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the mullerian ducts and incomplete fusion with the contra lateral side. Pregnancy in the non-communicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Pregnancy occurs via trans peritoneal migration of sperm or zygote. Variable thicknesses of rudimentary horn musculature, poor dispensability of myometrium lead to rupture. This complication is usually seen in 2nd trimester resulting in shock and hemoperitoneum. Diagnosis of rudimentary horn pregnancy is difficult and can be missed in ultrasound. Diagnosis of rudimentary horn pregnancy is difficult and can be missed by ultrasound. We report a case of ruptured rudimentary horn pregnancy at 17 weeks of gestation.
Ruptured Rudimentary Horn Pregnancy of Unicornuate Uterus- A Case Report
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2015
Mullerian anomalies were first classified in 1979 by Buttram and Gibbons and further revised by the American Society of Reproductive Medicine in 1988. Unicornuate uterus is a type 2 classification with unilateral hypoplasia or agenesis that can be further subclassified into communicating, noncommunicating, no cavity, and no horn. 1 The incidence of uterine congenital anomalies because of Mullerian defects in the normal fertile population is 3.2%. A unicornuate uterus accounts for 2.4%-13% of all Mullerian anomalies. 2 72-85% of the rudimentary horns are noncommunicating with the cavity. 3 Unicornuate uterus with rudimentary horn may be associated with gynaecological and obstetric complications like infertility, endometriosis, haematometra, urinary tract anomalies, abortions, and preterm deliveries. Rupture during pregnancy is the most dreaded complication which can be life threatening to the mother. We report a case of ruptured rudimentary horn pregnancy of 20 weeks gestation which was ultrasonographically diagnosed as intra-abdominal pregnancy and on laparotomy was managed by resection of the rudimentary horn. CASE REPORT A 21-year-old G2A1 with amenorrhoea of five months was referred from district head quater hospital with complains of pain abdomen for two days which gradually increased in intensity, was more in the lower abdomen and associated with vomiting and one episode of syncopal attack. She was married for 3 years and had a spontaneous first trimester abortion one year back. Her menstrual cycles were regular. On admission patient had mild pallor, no icterus, pulse rate was 96/min, blood pressure-100/60 mm of Hg and respiratory rate was 20/min. On abdominal examination there was generalised
Pregnancy in Rudimentary Horn: A Case Report
Himalayan Journals, 2023
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. Usually the diagnosis is missed and may present as an emergency with haemoperitoneum. We described a case of a 26-year-old PGR who had been diagnosed with intrauterine foetal death at 19 weeks of pregnancy and was referred to Dr. RPGMC Tanda.
Abstract: Pregnancy in non-communicating rudimentary horn of unicornuate uterus is an uncommon form of ectopic pregnancy usually resulting in rupture during second trimester with grave consequences for the mother and fetus. We report a case of ruptured non-communicating rudimentary horn at 28 weeks of gestation in woman with previous Caesarean section in unicornuate uterus. She presented to emergency with pain abdomen since four days. Laparotomy was done and the rudimentary horn excised. Post-operative recovery was uneventful. High index of suspicion of uterine anomaly and its early diagnosis in cases of second trimester rupture is required to save this catastrophic event. Keywords: unicornuate uterus; non-comunicating rudimentary horn; ectopic pregnancy; rupture.
Pregnancy in a unicornuate uterus: a case report
Journal of Medical Case Reports, 2014
Introduction: A unicornuate uterus accounts for 2.4 to 13% of all Müllerian anomalies. A unicornuate uterus with a non-communicating rudimentary horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract anomalies, abortions, and preterm deliveries. It has a poor reproductive outcome and pregnancy management is still unclear. Case presentation: We report a case of a 26-year-old Caucasian woman presenting with a unicornuate uterus with a non-communicating rudimentary horn. The diagnosis of the anomaly was based on two-dimensional and three-dimensional sonography. The excision of her symptomatic rudimentary horn and her ipsilateral fallopian tube was performed laparoscopically. The growth of the fetus was normal. At 20 weeks' pregnancy, her cervix started shortening and a tocolytic therapy was started. A cesarean delivery was successfully performed at 39 weeks and 4 days' gestation. Conclusions: Although the reproductive outcome of women with unicornuate uterus is poor, a successful pregnancy is possible. Routine excision of the rudimentary horn should be undertaken during non-pregnant state laparoscopically, and it would be necessary to screen such pregnancies for the development of intrauterine growth retardation with serial ultrasound assessments of the estimated fetal weight and the cervix length.