Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 3 Issue 11

A Successful Pregnancy Outcome in Unicornuate Uterus with Rudimentary Horn

Ruma Sen Gupta1* and Shahana Shermin2

1Assistant Professor, Gynecology and Obstetrics BIRDEM Hospital and Ibrahim Medical College, Bangladesh
2SMO, Gynecology and Obstetrics, BIRDEM Hospital, Bangladesh

*Corresponding Author: Ruma Sen Gupta, Assistant Professor, Gynecology and Obstetrics BIRDEM Hospital and Ibrahim Medical College, Bangladesh.

Received: August 23, 2021; Published: September 20, 2021

Abstract

  Mullerian anomalies occur at a very early stage when the embryo is 6 weeks. This Mullerian anomalies are classified by the American Society of Reproductive Medicine (ASRM). The unicornuate uterus affects 6.3 percent of women. This type of anomaly is linked to endometriosis through retrograde menstruation, as well as renal problems. Patients with hematometra in the rudimentary horn or hematosalpinx commonly appear with progressive dysmenorrhoea. Ectopic pregnancies and recurrent abortions are also more common in these people. MRI and 3D sonography are able to achieve comparable results for diagnosis. The gold standard for diagnosing Mullerian abnormalities is laparoscopy. To avoid tubal pregnancy, the fallopian tube on the side of the rudimentary horn must be removed. As the ipsilateral ureter is closer to the uterus, there is higher risk of injury to the ureter during removal of rudimentary horn.

Keywords: Unicornuate Uterus; Mullerian Abnormalities; Magnetic Resonance Imaging (MRI)

References

  1. Atmaca R., et al. “Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus”. JSLS 9 (2005): 235-237.
  2. Fedele L., et al. “Laperoscopy removal of the caviatednoncommunicating rudimentary uterin horn: Surgical aspects in 10 cases”. Fertility and Sterility 83 (2005): 432-436.
  3. Falcone T., et al. “Anatomical variation in the rudimentaryhorns of a unicornuate uterus: implicationsfor laparoscopic surgery”. Human Reproduction 12 (1997): 263-265.
  4. Chang CY., et al. “Hematometra of the rudimentary horn of a unicornuate uterus resulting from cesarean section”. American Journal of Obstetrics and Gynecology 185 (2001): 1263-1264.
  5. Perrotin F., et al. “Laparoscopic surgery of unicornuate uterus with rudimentary uterine horn”. Human Reproduction 14 (1999): 931-933.
  6. Amara DP., et al. “Laparoscopic management of a noncommunicating uterine horn in a patient with an acute abdomen”. Surgical Laparoscopy Endoscopy 7 (1997): 56-59.
  7. American Fertility Society. “The American Fertility Society classification of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions”. Fertility Sterility 49 (1988): 944-945.
  8. Canis M., et al. “Laparoscopic management of unicornuate uterus with rudimentary horn and unilateral extensive endometriosis: case report”. Human Reproduction 5 (1990): 819-820.

Citation

Citation: Ruma Sen Gupta and Shahana Shermin. “A Successful Pregnancy Outcome in Unicornuate Uterus with Rudimentary Horn”. Acta Scientific Women's Health 3.11 (2021): 24-26.

Copyright

Copyright: © 2021 Ruma Sen Gupta and Shahana Shermin. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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