Rudimentary uterine horn: Management of a diagnostic enigma

Chakravarti, Swati; Chin, K. A. J.

doi:10.1046/j.1600-0412.2003.00234.x

Cited by 24 publications

(15 citation statements)

References 4 publications

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“…To get to the correct diagnosis, the patient's history is crucial: increasingly painful periods, dyspareunia and sterility are common symptoms [2,8,9]. Our patient complained of increasing post-menstrual pain, which, in retrospective, we consider to be due to the increasing size of the rudimentary horn.…”

Section: Discussionmentioning

confidence: 88%

“…As an additional method to investigate congenital abnormalities of the uterus, Salle et al recommended hydrosonography [10]. Three-dimensional ultrasound and magnetic resonance imaging (MRI) may also give additional information, as well as hysteroscopy [2]. Often, laparoscopy is able to lead to the exact diagnosis of a uterine malformation [11].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, several complications have been described in the literature. Tubal pregnancy located in the tube near the rudimentary horn might be due to intra-peritoneal sperm or oocyte migration [2,13]. Even pregnancies in the rudimentary horn have been described and show a higher incidence for abortion and rupture of the horn, particularly in the second or third trimester.…”

Section: Discussionmentioning

confidence: 99%

“…A unicornuate uterus is a rare uterine malformation with an incidence of 2.5-13% [2]. Incomplete fusion of the two Mullerian ducts may lead to a septate or bicornuate uterus; failure of Mullerian tube formation causes aplasia or atresia of one side, resulting in a unicornuate uterus.…”

Section: Introductionmentioning

confidence: 99%

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The non-communicating rudimentary horn: diagnostic and therapeutic challenges

et al. 2007

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We describe the case of a 23-year-old nulligravid woman who complained of increasing post-menstrual lower abdominal pain. She used contraceptives permanently for three months and was referred with a sub-mucosal lesion suspicious for a type 2 fibroid to be resected. During hysteroscopy, no fibroid mass could be confirmed. A postoperatively performed ultrasound including hydrosonography demonstrated a lesion highly suspicious for a uterus unicollis with a non-communicating uterine horn and a haematometra. Laparoscopy confirmed a normal outer lining of the uterus with hypoplastic tube on the right side. Referring to pre-operative findings, a broadly based uterine horn including a large haematometra was diagnosed. We performed a laparoscopic resection of the rudimentary horn and a right salpingectomy. The patient could be discharged without any complications three days later.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The non-communicating rudimentary horn: diagnostic and therapeutic challenges

et al. 2007

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“…In 80% -90% of cases, there is no communicating channel between the two uterine cavities [1]. There are many cases reported with non-communicating rudimentary horn and the functioning endometrium associated with various complications such as dysmenorrhoea, adenomyosis, ectopic pregnancy and haematometra [2,3]. There are also several in literature, treated with laparoscopic excision where the blood supply of the rudimentary horn was either lateral or inferior [4].…”

Section: Introductionmentioning

confidence: 99%

Non-Communicating inactive rudimentary horn of the uterus presenting with dysmenorrhoea—a case report of successful laparoscopic excision

Dwivedi¹,

Perera²,

Eedarapalli³

2011

OJOG

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Uterine developmental abnormalities can cause both obstetric and gynaecological complications. Non-functioning rudimentary uterine horn is a rare cause of dysmenorrhoea which usually starts after menarche. Cases with lateral/inferior arrangement of blood supply to the functioning rudimentary horn and lapascopic removal have been described in literature. Ours is a unique case of non-functioning rudimentary horn with an unusual medial arrangement of vasculature successfully treated by laparoscopic excision. We also present a brief review of the literature. The patient presented with irretractable dysmenorrhoea despite hormonal manipulation and analgesics. Following the diagnosis using laparoscopy and hysteroscopy and MRI, the left sided non-communicating rudimentary horn with inactive endometrium was removed laparoscopically. Her symptoms were resolved and this was followed by successful pregnancies. Diagnosis of rudimentary horn with inactive endometrium is difficult. Ultrasound is unreliable. MRI, 3D CT scan and 3D ultrasound are gaining popularity. Accurate, prior identification of the type using laparoscopy and hysteroscopy if necessary is essential. This helps in surgical planning. The laparoscopic approach is increasingly being used to resect these horns due to its safety and merits.

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