Unicornuate Uterus with Noncommunicating Rudimentary Horn (Class U4aC0V0/ESHRE/ESGE Classification) and a Communicating Bladder Endometriotic Nodule

Giampaolino, Pierluigi; Zizolfi, Brunella; Corte, Luigi Della; Serafino, Paolo; Angelis, Maria Chiara De; Carugno, Josè; Bifulco, Giuseppe; Sardo, Attilio Di Spiezio

doi:10.1016/j.jmig.2022.04.008

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management may vary from no intervention to exhaustive repairs with a multidisciplinary approach depending on the number of combined defects. Sometimes no surgical correction is possible and the patient can only be counseled for future sexual and obstetric prospects [5,11].…”

Section: Discussionmentioning

confidence: 99%

Rare and Occult Müllerian Deformity Diagnosed Intraoperatively During Lower Segment Caesarean Section

Shrivastava,

Shrivastava

et al. 2023

Cureus

View full text Add to dashboard Cite

Uterine anomalies are the rare entities seen due to fusion defects or agenesis of Müllerian ducts in embryonic life. They are usually associated with renal defects. If non-obstructive in nature, they hardly become symptomatic until the beginning of their obstetric carrier, when they present with infertility, recurrent pregnancy loss, preterm pregnancy, rudimentary horn rupture, an ectopic baby, and numerous more negative effects. We are presenting a case report of a patient who was suffering from infertility, attempted IUI treatment five times, then stopped the treatment due to economic affordability issues, conceived spontaneously, and underwent preterm lower segment cesarean section (LSCS) due to fetal distress. During LSCS, it was found to be type 2C of the American Fertility Society (AFS) Müllerian anomaly. The post-operative period was uneventful; both mother and baby were fine, and they were discharged.

show abstract

Section: Discussionmentioning

confidence: 99%

Rare and Occult Müllerian Deformity Diagnosed Intraoperatively During Lower Segment Caesarean Section

Shrivastava,

Shrivastava

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…In 50% of cases we reviewed, the uterine artery was ligated and transected to control blood supply to the horn, in cases of large attachment. Some operators injected vasopressin between the horn and the uterus to further control blood loss [43,44].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Rudimentary Uterine Horns in Patients with Unicornuate Uterus: A Systematic Review

Abboud

Giannini

D’Oria

et al. 2022

Gynecol Obstet Invest

View full text Add to dashboard Cite

Introduction: Unicornuate uterus is a rare Müllerian anomaly. Its potential association with a rudimentary uterine horn can cause a diagnostic delay. The most common consequences are pelvic pain, hematometra and endometriosis. Diagnosis of a unicornuate uterus is usually done by imaging combining ultrasound (US) and Magnetic Resonance Imaging (MRI). The aim of this systematic review is to assess the role of laparoscopic approach in the management of this rare condition. Methods: A comprehensive search was performed in PubMed, EMBASE, SCOPUS and Web of Science databases prior to 1 may, 2022 according to Preferred Reporting Items for Systematic Reviews and Meta- Analyses statement (PRISMA). The inclusion criteria were: cases of rudimentary horn managed through laparoscopy only; laparoscopic treatment of communicating or non-communicating uterine horn. Results: The search strategy identified 45 articles. After this first screening, 37 studies were evaluated. The full text of remaining articles was examined. 35 studies were finally included in this article. All included studies were case reports, due to the rarity of this condition. Rudimentary horns were non-communicating in all cases. Conclusion: The laparoscopic removal of a rudimentary uterine horn could be considered a feasible therapeutic option. An accurate preoperative evaluation is mandatory to assess anatomic variants and to select the optimal and tailored surgical approach, based also on the symptoms complained by the patient.

show abstract

“…Non-communicating rudimentary horns with a functional endometrium are exceptional Müllerian anomalies in 20% to 25% of women with a unicornuate uterus [ 1 , 2 ]. The exact prevalence of Müller duct anomalies (MDAs) remains unknown because of underdiagnosing and under-reporting.…”

mentioning

confidence: 99%

Spontaneous Fistula and Abdominal Wall Endometriosis Due to Occult Existence of Unicornuate Right Uterus with Rudimentary Non-Communicating Functioning Left Horn

Cruciat,

Staicu,

Florian

et al. 2024

Diagnostics

View full text Add to dashboard Cite

Accurate diagnosis of Müllerian duct anomalies (MDA) remains a clinical challenge even by direct surgical inspection. Although obstetrical complications are more frequent in women with MDA, some subtypes allow normal reproduction, further delaying the diagnosis. Unicornuate uterus with a rudimentary non-communicating functioning horn is a rare form of MDA, susceptible to many gynecologic and obstetric complications such as miscarriages, premature birth, hematosalpinx, endometriosis, and chronic pelvic pain. We present an entire case pictorial assay including preoperative imaging as well as the surgical correction of the uterine anomaly and the associated complication of an occult unicornuate right uterus with rudimentary non-communicating functioning left horn (Class U4aC0V0/ European Society of Human Reproduction and Embryology/European Society of Gastrointestinal Endoscopy Classification) and its natural evolution following a previous incomplete surgical treatment. The patient had an emergency left adnexectomy for hematosalpinx and ovarian endometrioma at her local county hospital. After five years, the patient presented with severe dysmenorrhea and abdominal endometriosis due to blocked retrograde menstruation from a rudimentary, non-communicating functioning horn. Surgical treatment with the resection of the rudimentary uterine horn, together with the abdominal wall endometriosis lesions, was carried out with good outcomes.

show abstract

Unicornuate Uterus with Noncommunicating Rudimentary Horn (Class U4aC0V0/ESHRE/ESGE Classification) and a Communicating Bladder Endometriotic Nodule

Cited by 3 publications

References 0 publications

Rare and Occult Müllerian Deformity Diagnosed Intraoperatively During Lower Segment Caesarean Section

Rare and Occult Müllerian Deformity Diagnosed Intraoperatively During Lower Segment Caesarean Section

Laparoscopic Management of Rudimentary Uterine Horns in Patients with Unicornuate Uterus: A Systematic Review

Spontaneous Fistula and Abdominal Wall Endometriosis Due to Occult Existence of Unicornuate Right Uterus with Rudimentary Non-Communicating Functioning Left Horn

Contact Info

Product

Resources

About