Unicornuate uterus with rudimentary horn

Liu, M.M.

doi:10.1016/0020-7292(94)90070-1

Cited by 43 publications

(23 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 A careful pelvic examination in the 1 st trimester showing deviated uterus with palpable contra-lateral pelvic adnexa should arouse suspicion of uterine anomaly. 9 Ultrasonogaphy can also pick up this anomaly with reasonable accuracy. A gestational sac surrounded by myometrium by the side of a normal empty uterus and non-communication of gestational sac with the endometrial cavity and the cervix differentiates it from pregnancy in one of the horns of a bicornuate uterus.…”

Section: Discussionmentioning

confidence: 99%

A study of complications in case of unicornuate uterus with rudimentary horn

Kamal¹,

Roy²

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: To analyse gynecological and reproductive morbidities associated with unicornuate uterus with noncommunicating rudimentary horn.Methods: This is a retrospective study of 20 cases of unicornuate uterus with noncommunicating rudimentary horn found on laparotomy in a duration of 5 years (Oct 2011-Oct 2016).Results: Out of 20 patients, two teenagers presented with dysmenorrhoea and pain abdomen and had haematometra in the noncommunicating rudimentary horn which was excised. Eight had pregnancy in the noncommunicating rudimentary horn of which all presented after rupture and five were admitted in a state of shock. Ten patients had pregnancy in the hemiuterus with complications inherent to the condition.Conclusions: Unicornuate uterus with noncommunicating rudimentary horn is associated with poorest outcomes among all uterine anomalies and a high index of suspicion is needed to diagnose this condition and thus to save the woman from catastrophic complications.

show abstract

Section: Discussionmentioning

confidence: 99%

A study of complications in case of unicornuate uterus with rudimentary horn

Kamal¹,

Roy²

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…However, live birth cases have been reported after caesarean, for pregnancies which have progressed to third trimester [4]. Neonatal survival in BURH pregnancy is poor, occurring in only 11% cases during the last half century.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of the bicornuate uterus with rudimentary horn is around 1:1,00,000 and pregnancy in rudimentary horn is even rare i.e. 1:1,40,000 pregnancies [4,5].…”

Section: Introductionmentioning

confidence: 99%

The Unchartered Waters of Obstetrics - Rupture of Noncommunicating Rudimentary Horn Pregnancy (Rnhp) in a Bicornuate Uterus

Rath¹,

Tripathy²

2016

Gynecol Obstet

View full text Add to dashboard Cite

Background: Mullerian duct anomalies in female result from failure of complete development of one duct and incomplete fusion of other duct during embryonic life. Bicornuate uterus with rudimentary horn (BURH) is the rarest uterine anomaly. Pregnancy in rudimentary horn is even rarer, i.e. 1:1,40,000 pregnancies. Case description:A 24-year-old primigravida presented with acute pain abdomen and amenorrhoea for 16 weeks. She was severely pale and was in hypovolemic shock, with diffuse tenderness, guarding and rigidity of abdomen. Per vaginal examination revealed a bulky uterus with motion tenderness and full fornices. On laparotomy there was hemoperitoneum along with rupture of left horn of the bicornuate uterus. The placenta was inside the rudimentary horn, and the horn was non-communicating with the body of the uterus. It was excised completely. An abortus of 16 weeks size was lying within intact membranes, and was found free within the abdominal cavity. Conclusion:A second trimester pregnancy with features of ruptured ectopic should be screened for the associated uterine anomalies. Rupture of the rudimentary horn of the uterus is one of the important but rare causes of acute abdomen. A high index of suspicion is warranted in cases of advanced gestation presenting with acute abdomen, especially in developing countries like India, where the possibility of early detection before rupture is unlikely, culminating in maternal demise.

show abstract

“…1,2 Here is a case report of ruptured non communicating rudimentary horn in 18 week pregnancy in a Nepalese woman. The usual outcome of rudimentary horn pregnancy is rupture in second trimester in 90% of cases with fetal demise, 8 however cases of pregnancy progressing to the third trimester and resulting in a live-birth after caesarean section has been documented. 6 It has been recommended by most of the obstetricians, that immediate surgery must be performed whenever a diagnosis of pregnancy in a rudimentary horn is made, even if it is unruptured.…”

Section: Introductionmentioning

confidence: 99%

Ruptured ectopic pregnancy in a non-communicating rudimentary horn of a unicornuate uterus: A case report

Kaudel

2017

J Chitwan Med Coll

View full text Add to dashboard Cite

Uterine rupture in first and second trimester in a non-scarred uterus is usually associated with Mullerian anomalies like rudimentary horn pregnancy. Such rudimentary horn pregnancy is difficult to diagnose antenatally but it carries grave consequences for the mother and fetus. Here is a case of undiagnosed ruptured rudimentary horn pregnancy in unicornuate uterus in Gravida 2 Para 0+1 lady at 18 week gestation who was admitted in Emergency with Shock and diagnosis was confirmed at laparotomy.

show abstract

Unicornuate uterus with rudimentary horn

Abstract: Rudimentary horn should be removed if detected.

Cited by 43 publications

References 14 publications

A study of complications in case of unicornuate uterus with rudimentary horn

A study of complications in case of unicornuate uterus with rudimentary horn

The Unchartered Waters of Obstetrics - Rupture of Noncommunicating Rudimentary Horn Pregnancy (Rnhp) in a Bicornuate Uterus

Ruptured ectopic pregnancy in a non-communicating rudimentary horn of a unicornuate uterus: A case report

Contact Info

Product

Resources

About