A RARE CASE OF TWIN GESTATION IN A NON-COMMUNICATING RUDIMENTARY HORN OF UNICORNUATE UTERUS
Abstract
Pregnancy in rudimentary horn is a rare
entity and carries grave consequences to
the mother 1. An incidence of 1 in
150000 pregnancies has been reported
in the literature. A rare case of diamniotic
twin gestation 14 wks in the noncommunicating
rudimentary horn of a
unicornuate uterus is reported in Institute
of Obstetrics Gynecology, Women Children
Hospital, Chennai. Patient presented
with vaginal bleeding. Early diagnosis
and prompt exploratory laparotomy,
where excision of the unruptured
rudimentary horn prevented maternal
mortality and morbidity.
Full Text:
PDFReferences
Buttram VC Jr, Gibbons WE. Müllerian
anomalies: a proposed classification.
(An analysis nof 144 cases). Fertil Steril.
Jul 1979;32(1):40-6.
Acién P. Incidence of Müllerian defects
in fertile and infertile women. Hum
Repod. Jul 1997;12(7):1372-6.
Grimbizis GF, Camus M, Tarlatzis BC,
Bontis JN, Devroey P. Clinical implications
of uterine malformations and hysteroscopic
treatment results. Hum Reprod
Update. Mar-Apr 2001;7(2):161-74.
Rock JA, Schlaff WD. The obstetric
consequences of uterovaginal anomalies.
Fertil Steril. May 1985;43(5):681-
Lin WC, Chang CY, Shen YY, Tsai
HD. Use of autologous buccal mucosa
for vaginoplasty: a study of eight cases.
Hum Reprod. Mar 2003;18(3):604-7.
Michala L, Cutner A, Creighton SM.
Surgical approaches to treating vaginal
agenesis. BJOG. Dec 2007;114
(12):1455-9.
Lin PC. Reproductive outcomes in
women with uterine anomalies. J
Womens Health (Larchmt). Jan-Feb
;13(1):33-9.
Fedele L, Busacca M, Candiani M,
Vignali M. Laparoscopic creation of a
neovagina in Mayer-Rokitansky-Küster-
Hauser syndrome by modification of
Vecchietti's operation. Am J Obstet Gynecol.
Jul 1994;171
Raman S, Tai C, Neoh HS. Noncommunicating
rudimentary horn
pregnancy. J Gyneco Surg.
;9:59. (1):268-9.
Nisolle M, Donnez J. Endoscopic
laser treatment of uterine malformations.
Gyneco Endos. 1996;5:155.
Donnez J, Nisolle M. Endoscopic
laser treatment of uterine malformations.
Hum Reprod. Jul 1997;12
(7):1381-7.
Heinonen PK. Unicornuate uterus
and rudimentary horn. Fertil Steril.
Aug 1997;68(2):224-30.
Mitchell DG. Benign disease of the
uterus and ovaries. Applications of
magnetic resonance imaging. Radiol
Clin North Am. Jul 1992;30(4):777-87.
Mitchell DG, Outwater EK. Benign
gynecologic disease: applications of
magnetic resonance imaging. Top
Magn Reson Imaging. Winter 1995;7
(1):26-43.
Imaoka I, Wada A, Matsuo M, Yoshida
M, Kitagaki H, Sugimura K. MR
imaging of disorders associated with
female infertility: use in diagnosis,
treatment, and management. Radiographics.
Nov-Dec 2003;23(6):1401-
Marten K, Vosshenrich R, Funke
M, Obenauer S, Baum F, Grabbe E.
MRI in the evaluation of müllerian duct
anomalies. Clin Imaging. Sep-Oct
;27(5):346-50.
Saleem SN. MR imaging diagnosis
of uterovaginal anomalies: current
state of the art. Radiographics. Sep-
Oct 2003;23(5):e13.
Scarsbrook AF, Moore NR. MRI appearances
of müllerian duct abnormalities.
Clin Radiol. Oct 2003;58(10):747-
Tsafrir A, Rojansky N, Sela HY. Rudimentary
horn pregnancy: first trimester
pre-rupture sonographic diagnosis
and confirmation by Magnetic resonance
imaging. J Ultrasound Med
; 24:219-23.
Candiani GB, Fedele L, Zamberletti
D, De Virgiliis D, Carinelli S. Endometrial
patterns in malformed uteri.
Acta Eur Fertil. Sep-Oct 1983;14
(5):311-8.
Heinonen PK, Saarikoski S,
Pystynen P. Reproductive performance
of women with uterine anomalies. An
evaluation of 182 cases. Acta Obstet
Gynecol Scand. 1982;61(2):157-62.
Liu MM: Unicornuate uterus with rudimentary
horn. Int J Gynaecol Obstet.
, 44:149-153.
Jin Woo Shin, Hai Joong Kim: Case
of live birth in a non communicating rudimentary
horn pregnancy. J Obstet
Gynaecol Res. 2005, 31:329-331.
Yasmin Jayasinghe, Ajay Rane,
Harry Stalewski, et al.: The presentation
and early diagnosis of the rudimentary
horn. Obstet Gynecol. 2005,
:1456-1467.
Nahum G: Rudimentary horn pregnancy:
the 20th century worldwide experience
of 588 cases. J Reprod Med.
, 47:151-163.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr MGR Medical University