Unicornuate uterus and pregnancy outcome: a case report

Authors

  • Vineet Mishra Department of Obstetrics and Gynaecology, Institute Of Kidney Disease and Research Centre, Ahmedabad, Gujarat, India
  • Priyankur Roy Department of Obstetrics and Gynaecology, Institute Of Kidney Disease and Research Centre, Ahmedabad, Gujarat, India
  • Bhumika Vyas Department of Obstetrics and Gynaecology, Institute Of Kidney Disease and Research Centre, Ahmedabad, Gujarat, India
  • Rohina Aggarwal Department of Obstetrics and Gynaecology, Institute Of Kidney Disease and Research Centre, Ahmedabad, Gujarat, India
  • Shaheen Hokabaj Department of Obstetrics and Gynaecology, Institute Of Kidney Disease and Research Centre, Ahmedabad, Gujarat, India
  • Raveendra Gondhali Department of Obstetrics and Gynaecology, Institute Of Kidney Disease and Research Centre, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20164379

Keywords:

Caesarean section, IUGR unicornuate uterus

Abstract

Mullerian duct anomalies (MDAs) are congenital defects of the female genital tract that arise from abnormal embryological development of the Mullerian ducts. Unicornuate uterus with or without 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. 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. A 25 years old, primigravida was admitted at 38 weeks 3 days gestational age with complaints of leaking per vaginum. She was induced with PGE2 gel under antibiotic coverage to prevent chorioamnionitis. She underwent emergency caesarean section for failure to progress and intra-operatively she was incidentally found to have unicornuate uterus with contralateral fallopian tube directly getting attached to the ovary. The baby cried immediately after birth, though it was growth retarded (IUGR). If pregnancy with unicornuate uterus is managed well, it can result in favourable obstetric outcome.

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Published

2016-12-07

Issue

Section

Case Reports