Cover Image

A RARE CASE OF PREGNANCY IN ONE HORN AND HEMATOMETRA IN THE RUDIMENTARY HORN OF UNICORNUATE UTERUS

SHARADHA .

Abstract


Hematometra in non-communicating rudimentary horn with pregnancy in the other horn is a rare event. This is a case report of a pregnant woman in early weeks of              gestation presenting with acute abdominal pain and was  diagnosed to have hematometra in the rudimentary horn. It was drained under ultrasound guidance and pregnancy            successfully continued. Unicornuate uterus with                           non-communicating rudimentary horn is susceptible to many gynecological and obstetric complications which can occur at any stage of reproductive life (Heinonen PK 1983)1. To            reduce its serious complications in future, early diagnosis and resection of rudimentary horn is of utmost importance. 1


Full Text:

PDF

References


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

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

Crosby WM, Hill EC. Embryology of the mullerian duct system.Review of present day theory. Obstet Gynecol 1962; 20:507-15.

AFS. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988; 49(6):944e955.

Rock JA, Adam RA. Surgery to repair disorders of development. In: Nichols DH, Clarke- Pearson, eds. Gynecologic, Obstetric, and Related Surgery. 2nd ed. St. Louis, MO: Mosby-Year Book; 2000:780e813.

Andrews MC et al.1982.Impaired reproductive performances of the unicornuate uterus : IUGR ,infertility ,recurrent abortion .Am J Obstet gynecol 144 (4): 73 – 76.

Sabaratnam Arulkumaran et al, Malformations of the female genital system. Obstetrics and Gynecology 3rd edition, volume 2, 2009: 6.

Fedele L et al. 1996 a. Urinary tract anomalies associated with unicornuate uterus. J Urol 155:847- 848.

Khanna V, et al., Unicornuate uterus with an obstructed rudimentary horn: A report of two cases with an imaging perspective, Medical Journal Armed Forces India (2012)

Geol P et al. Unicornuate uterus with non-communicating rudimentary horn –different clinical presentations. J Obstet Gynecol India Vol. 55, No. 2 : March/April 2005 : 155-158

Fujimoto VY et al. Late-onset hematometra and hematosalpinx in a woman with a noncommunicating uterine horn. J Reprod Med. 1998 May; 43(5):465-7.

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

Heinonen PK. Unicornuate uterus and rudimentary horn. Fertility and Sterility. Volume 68, Issue 2,1997 : 224 -230

Battacharya TK, Sengupta P, Rudimentary horn pregnancy, Medical Journal Armed Forces India:2005; 61:377-8.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An initiative of The Tamil Nadu Dr M.G.R. Medical University