Pregnancy in the rudimentary horn of a unicornuate uterus is uncommon and needs to be diagnosed at early stages to avoid uterine rupture to avert the high morbidity and mortality. In this case report, we discussed the advantage of three-dimensional transvaginal ultrasonography (3D TV-USG) in assessing the early pregnancy in the noncommunicating rudimentary horn of uterus. A 23-year-old woman approached us for routine pregnancy scan. The location of 5-week pregnancy was confirmed in the right noncommunicating horn of a unicornuate uterus by 3D TV-USG. She has undergone laparohysteroscopy, and excision of a gravid rudimentary horn was done. After an interval of 6 months, the patient received fertility treatment and conceived consequently. Although magnetic resonance imaging (MRI) is an excellent way of diagnosing uterine anomalies, the procedure is expensive, time-consuming, and not widely available. 3D USG is less expensive and more readily accessible for early diagnosis of uterine anomalies, particularly in health-care centers where MRI is not readily available or affordable.
Uterine fibroids are most frequent benign growths occur in female reproductive age with the frequency of 20-40%. The fibroid incidence in pregnancy estimated to be 0.1 to 3.9%. They affect the female fertility and embryo implantation rates after the assisted reproductive treatments. Although most of the uterine myomas are asymptomatic during pregnancy, seldom they lead to the various complications that harm the pregnancy. Henceforth it is advisable to diagnose the uterine myomas at early stages. Three-dimensional ultrasonography is excellent equipment producing high-resolution images in different panels. It is easily accessible, cost-effective and offers benefits for early diagnosis of uterine anomalies. In this case report, we emphasized on the early diagnosis of the uterine fibroid associated pregnancy that enabled the physician to manage the pregnancy without complications.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.