DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172361

A study of complications in case of unicornuate uterus with rudimentary horn

Samarina Kamal, Priyankur Roy

Abstract


Background: To analyse gynecological and reproductive morbidities associated with unicornuate uterus with noncommunicating rudimentary horn.

Methods: This is a retrospective study of 20 cases of unicornuate uterus with noncommunicating rudimentary horn found on laparotomy in a duration of 5 years (Oct 2011-Oct 2016).

Results: Out of 20 patients, two teenagers presented with dysmenorrhoea and pain abdomen and had haematometra in the noncommunicating rudimentary horn which was excised. Eight had pregnancy in the noncommunicating rudimentary horn of which all presented after rupture and five were admitted in a state of shock. Ten patients had pregnancy in the hemiuterus with complications inherent to the condition.

Conclusions: Unicornuate uterus with noncommunicating rudimentary horn is associated with poorest outcomes among all uterine anomalies and a high index of suspicion is needed to diagnose this condition and thus to save the woman from catastrophic complications.


Keywords


Mullerian, Rudimentary, Rupture, Unicornuate

Full Text:

PDF

References


Hoffman BL, Schaffer JO. chapter 18, Anatomic disorders, Williams gynaecology, 2nd edition; 2012:497-8.

Johansen K. Pregnancy in a rudimentary horn: Two case reports. Obstet Gynecol 1969;34:805-8.

O’Leary JL, O’Leary JA. Rudimentary horn pregnancy. Obstet Gynecol. 1963;22:371-5.

Elagwany AS, Elgamal HH, Abdeldayem TM. Ruptured ectopic pregnancy in non-communicating right rudimentary horn: a case report. Apollo Medicine. 2016;13(4):249-52.

Bhattacharya TK, Sengupta P. Rudimentary horn pregnancy. Med J Armed Forces India. 2005;61:377.

Heinomen PK, Saarikoski S, Pystynen P. Reproductive performance of women with uterine anomalies: An evaluation of 182 cases. Acta Obstet Gynecol Scand. 1982;61:157-62.

Heinonen PK. Clinical implications of the unicornuate uterus with rudimentary horn. Int J Gynecol Obstet. 1983;21:145-50.

Tsuda H, Fujinov, Umesaki N. Preoperative diagnosis of a rudimentary uterine horn. Eur J obstet Gynecol Reprod Bio. 1994;56:143-5.

Liu MM. Unicornuate uterus with rudimentary horn: Int J Gynecol Obstet. 1994;44:149-53.

Kriplani A, Relan S, Mittal S. Prerupture diagnosis and management of rudimentary horn pregnancy in the first trimester. Eur J Obstet Gynecol Reprod Bio. 1995;58:203-5.

Goel P, Aggarwal A, Devi K, Takkar N, Saha PK, Huria :Unicornuate uterus with non-communicating rudimentary horn different clinical presentations. J Obstet Gynecol India. 2005;55:155-8.

Malhotra V, Lakra P, Nanda S, Chauhan M. Clinical Spectrum of Un-icornuate Uterus with Noncommunicating Rudi-mentary Horn: Five-Year Analysis at a Tertiary Care Center J gynaec surgery. 2014;30(2):87-90.

Anne S. Deviwold, Norman phan, Adyin Arici. Anatomic factors in recurrent pregnancy loss. Se-min Reprod. Med. 2006;24(1):25-32

Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril. 2015;103(6):1615-8.