Tubal pregnancy in a unicornuate uterus with rudimentary horn: a case report

Handa, Yutaka; Hoshi, Nobuhiko; Yamada, Hideto; Wada, Shinichiro; Kudo, Masataka; Tsuda, Katsuya; Sagawa, Tadashi; Fujimoto, Seiichiro

doi:10.1016/s0015-0282(99)00212-5

Cited by 22 publications

(17 citation statements)

References 3 publications

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“…Here in this case the presence of fibrous band prevented the myometrial injury 5 because there is no need to enter the uterine cavity. The removal of the fallopian tube on the right side in order to prevent ectopic pregnancy 6 was not needed as it was absent in our case. The provisional diagnosis prior to surgery by scan was bicornuate uterus but on surgery it was found to be a unicornuate uterus with non-communicating functioning rudimentary horn.…”

Section: Discussionmentioning

confidence: 81%

A Rare Case of Right Sided Unilateral Dysmenorrhoea

Hameed¹,

Narmada²,

Sathyavani³

2014

jemds

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Most of the adolescent girls complain of pain during periods. The incidence of dysmenorrhea is 25%. A 17 year old girl came with right sided pain which was mistaken for appendicitis and had laparoscopic appendicectomy. She was referred to gynecology outpatient department since the pain on the right side was not relieved even on medical treatment. Repeatedly she took leave from her school. At one stage patient was thought to be malingering and was referred for psychotherapy. MRI showed class IV bicornuate unicollis uterus, with partially underdeveloped rudimentary horn with functional endometrium. The provisional diagnosis prior to laparotomy was bicornuate uterus but on surgery it was found to be a unicornuate uterus with non-communicating rudimentary horn on the right side with functioning Endometrium. There was no associated renal abnormality and endometriosis. The functioning unicornuate horn was attached to the uterus by a fibrous band which was excised easily. The patient was relieved of dysmenorrhea. In unilateral dysmenorrhea the probability of congenital malformation should be thought of. Early diagnosis and management will help to prevent a lot of complications like endometriosis, infertility, ectopic pregnancy and rupture of underdeveloped pregnant horn.CASE REPORT: A17 year old girl was referred from surgical department who had laparoscopic appendicectomy for right sided lower abdominal pain. She had severe dysmenorrhea for the past 3 years. The pain was typically felt over the right lower abdomen and it started just before the menstrual cycle, reached its peak on the third day of the menstrual cycle. She also gave a history of taking analgesics on and off for it. On examination, her vitals were stable and no abnormality was detected, everything was normal except for the tenderness at the right iliac fossa. She was advised ultrasonography (USG) to rule out any pelvic pathology. USG showed bicornus unicollis rudimentary horn 35 x 31mm with endometrium. (Figure 1) To confirm the diagnosis, magnetic resonance imaging (MRI) was performed showing class -IV bicornuate unicollis uterus, relatively small sized or partially underdeveloped rudimentary horn with functional endometrium and right hematometra. (Figure 2) Intravenous pyelography showed no renal pathology. Even though laparoscopy is preferred we did laparotomy.

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Section: Discussionmentioning

confidence: 81%

A Rare Case of Right Sided Unilateral Dysmenorrhoea

Hameed¹,

Narmada²,

Sathyavani³

2014

jemds

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“…Cases have been reported of tubal pregnancy in a unicornuate uterus with rudimentary horn on the side of the rudiment [5]. Image diagnosis and pathological examination of the rudimentary horn revealed that this uterine malformation was a unicornuate uterus with a noncommunicating, non-cavitary rudimentary horn, corresponding to class IIc of the American Fertility Society classification of mullerian anomalies.…”

Section: Discussionmentioning

confidence: 99%

Sub-hepatic ectopic pregnancy in a fallopian tube of a non-communicating rudimentary uterine horn

2006

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“…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%

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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Tubal pregnancy in a unicornuate uterus with rudimentary horn: a case report

Cited by 22 publications

References 3 publications

A Rare Case of Right Sided Unilateral Dysmenorrhoea

A Rare Case of Right Sided Unilateral Dysmenorrhoea

Sub-hepatic ectopic pregnancy in a fallopian tube of a non-communicating rudimentary uterine horn

The non-communicating rudimentary horn: diagnostic and therapeutic challenges

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