Rudimentary Horn Pregnancy Diagnosed after Laparotomy
Müllerian abnormalities are present in 0.17% of fertile women and 3.5% of infertile women, and a unicornuate uterus is observed in 0.4% of women. The uterus is normally formed during embryogenesis by the fusion of the two Müllerian ducts. If one of the ducts does not develop, only one Müllerian duct...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/5816487 |
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| author | Kurabachew Mengistu Tufa Bobe Gashaw Tilahun Kibru Kifle Dereje Geleta |
| author_facet | Kurabachew Mengistu Tufa Bobe Gashaw Tilahun Kibru Kifle Dereje Geleta |
| author_sort | Kurabachew Mengistu |
| collection | DOAJ |
| description | Müllerian abnormalities are present in 0.17% of fertile women and 3.5% of infertile women, and a unicornuate uterus is observed in 0.4% of women. The uterus is normally formed during embryogenesis by the fusion of the two Müllerian ducts. If one of the ducts does not develop, only one Müllerian duct contributes to the uterine development. We report a case of Gravida II, abortion I referred from a primary hospital with a referral paper and sonography stating she had IUFD. She had regular antenatal care follow-up at the primary hospital and had 8 months of amenorrhea. Our ultrasound assessment confirmed the intrauterine fetal demise, but the rudimentary horn pregnancy was missed. Repeated attempts at the induction of labor were tried but unsuccessful. The diagnosis was confirmed at laparotomy. She underwent cesarean section with right intact rudimentary horn removal. A nonviable male fetus with birth weight of 1.2 kg was delivered. Women with this abnormality are asymptomatic and unaware of having a unicornuate uterus. Abdominal pain is the most common presenting symptom with the rudimentary horn, but communicating horn pregnancy is generally asymptomatic in early pregnancy. Early awareness of this rare clinical condition is so crucial especially in developing countries where the availability of new technologies is scarce to explore uterine abnormalities. The patient had uneventful postoperative recovery and was discharged after 3 postoperative days. |
| format | Article |
| id | doaj-art-d5d27323b51949cdbdc24aa79dc1f524 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-d5d27323b51949cdbdc24aa79dc1f5242025-02-03T01:01:28ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/58164875816487Rudimentary Horn Pregnancy Diagnosed after LaparotomyKurabachew Mengistu0Tufa Bobe1Gashaw Tilahun2Kibru Kifle3Dereje Geleta4Department of Anesthesiology, College of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaDepartment of Obstetrics and Gynaecology, College of Medicine and Health Sciences, Madda Wallabu University, Robe, EthiopiaDepartment of Obstetrics and Gynaecology, College of Medicine and Health Sciences, Madda Wallabu University, Robe, EthiopiaDepartment of Obstetrics and Gynaecology, College of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaSchool of Public and Environmental Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaMüllerian abnormalities are present in 0.17% of fertile women and 3.5% of infertile women, and a unicornuate uterus is observed in 0.4% of women. The uterus is normally formed during embryogenesis by the fusion of the two Müllerian ducts. If one of the ducts does not develop, only one Müllerian duct contributes to the uterine development. We report a case of Gravida II, abortion I referred from a primary hospital with a referral paper and sonography stating she had IUFD. She had regular antenatal care follow-up at the primary hospital and had 8 months of amenorrhea. Our ultrasound assessment confirmed the intrauterine fetal demise, but the rudimentary horn pregnancy was missed. Repeated attempts at the induction of labor were tried but unsuccessful. The diagnosis was confirmed at laparotomy. She underwent cesarean section with right intact rudimentary horn removal. A nonviable male fetus with birth weight of 1.2 kg was delivered. Women with this abnormality are asymptomatic and unaware of having a unicornuate uterus. Abdominal pain is the most common presenting symptom with the rudimentary horn, but communicating horn pregnancy is generally asymptomatic in early pregnancy. Early awareness of this rare clinical condition is so crucial especially in developing countries where the availability of new technologies is scarce to explore uterine abnormalities. The patient had uneventful postoperative recovery and was discharged after 3 postoperative days.http://dx.doi.org/10.1155/2020/5816487 |
| spellingShingle | Kurabachew Mengistu Tufa Bobe Gashaw Tilahun Kibru Kifle Dereje Geleta Rudimentary Horn Pregnancy Diagnosed after Laparotomy Case Reports in Obstetrics and Gynecology |
| title | Rudimentary Horn Pregnancy Diagnosed after Laparotomy |
| title_full | Rudimentary Horn Pregnancy Diagnosed after Laparotomy |
| title_fullStr | Rudimentary Horn Pregnancy Diagnosed after Laparotomy |
| title_full_unstemmed | Rudimentary Horn Pregnancy Diagnosed after Laparotomy |
| title_short | Rudimentary Horn Pregnancy Diagnosed after Laparotomy |
| title_sort | rudimentary horn pregnancy diagnosed after laparotomy |
| url | http://dx.doi.org/10.1155/2020/5816487 |
| work_keys_str_mv | AT kurabachewmengistu rudimentaryhornpregnancydiagnosedafterlaparotomy AT tufabobe rudimentaryhornpregnancydiagnosedafterlaparotomy AT gashawtilahun rudimentaryhornpregnancydiagnosedafterlaparotomy AT kibrukifle rudimentaryhornpregnancydiagnosedafterlaparotomy AT derejegeleta rudimentaryhornpregnancydiagnosedafterlaparotomy |