New Method of Coronoplasty Surgery in Unicornuate Uterus with Rudimentary Horn; Case Report of Sarem Women’s Hospital

Abstract

Ectopic pregnancy within a rudimentary horn in a case of unicornuate uterus [3] The noncommunicating rudimentary horn: diagnostic and therapeutic challenges [4] Rare case of live birth in a ruptured rudimentary horn pregnancy [5] Laparoscopic management of a cavitated noncommunicating rudimentary uterine horn of a unicornuate uterus: a case report [6] Torsion of a rudimentary uterine horn at 22 weeks of gestation [7] Torsion of fallopian tube remnant associated with noncommunicating rudimentary horn in adolescent girl with unicornuate uterus [8] Preventing ectopic pregnancies: how often does transperitoneal transmigration of sperm occur in effecting human pregnancy? [9] A 32 weeks twin pregnancy in a non-communicating rudimentary horn:Case report [10] Laparoscopic management of an 11-week rudimentary uterine horn pregnancy using extracorporeal roeder knot to secure the dilated vascular pedicle [11] A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn: a case report [12] Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review [13] Management of un-ruptured pregnancy in a rudimentary horn of unicornuate uterus at 14 weeks gestation [14] Rudimentary horn pregnancy: a 10year experience and review of literature [15] Laparoscopic excision of rudimentary horn pregnancy in a patient with previous caesarean section [16] Robot-assisted laparoscopic surgery for a rudimentary uterine horn with two non-communicating cavities [17] Pregnant noncommunicating rudimentary uterine horn with placenta percreta Aims Unicornuate uterus is one of the congenital anomalies of female reproductive system causing many important complications such as hematometra, endometriosis, torsion and ectopic pregnancy. Endometrial cavity in the rudimentary horn and small cavity of the uterus are the most important causes of these complications. Between referring to gynecologic clinics in emergency situations such as abortion, preterm labor, extra-uterus pregnancy, and in non-emergency such as infertility and endometriosis, there are many abnormalities in the reproductive system, some of which are associated with abnormalities in the urinary system; Therefore, trying to treat the uterus greatly resolves one of the problems of obstetrics and gynecology. In this study, a new method of coronoplasty surgery was introduced in the unicornuate uterus with the rudimentary horn.Patient & Methods This study is a case report that was done in 2013. A 22-year-old woman referred to sarem women's hospital for secondary infertility and undergoing diagnostic laparoscopy and the surgeon realized the unicornuate uterus with the rudimentary horn. In this patient, the rudimentary horn was not cut off and during a new surgical procedure called coronoplasty, the rudimentary horn was connected to the uterus major horn and was reconstructed as a larger uterus. Conclusion Coronoplasty is novel and effective surgery method for reconstruction of unicornuate uterus with rudimentary horn.