Unicornuate uterus and rudimentary horn

Heinonen, Pentti K.

doi:10.1016/s0015-0282(97)81506-3

Cited by 227 publications

(190 citation statements)

References 17 publications

Supporting

Mentioning

143

Contrasting

Unclassified

Order By: Relevance

“…These pregnancies are also at risk of placenta accreta and percreta, probably because of the poor quality of the endometrium and low decidualization [11] [12]. In a series of 7 pregnancies implanted in the uterine rudimentary horn, Heinonen [13] noticed three cases of placenta accreta (43%), which was also favored by pathological examination of our case. In settings with limited access to health care resources, this condition could lead to maternal death.…”

Section: Discussionsupporting

confidence: 52%

Rupture of a Rudimentary Uterine Horn: A Case Report

Didier¹,

Roland²,

Joachim³

et al. 2017

OJOG

View full text Add to dashboard Cite

Pregnancy in an abnormal uterus is a high-risk situation in obstetrics. Uterus bicornis unicollis with a rudimentary horn is often discovered incidentally. The aim of this report is to warn obstetricians about recurrent abdominal pain in the second trimester of pregnancy without any cause identified. Pregnancy can proceed in the rudimentary horn. We presented a case of a rupture of the rudimentary horn which occurred at 25 weeks of amenorrhea in an unmarried 19-year-old primigravida. The rudimentary horn was removed after performing an emergency laparotomy for an intraperitoneal hemorrhage with signs of shock. This abnormality is often revealed by uterine rupture, which usually occurs in the second trimester of pregnancy. Conclusion: We emphasize the importance of early diagnosis of this uterine abnormality, before pregnancy if possible. Undiagnosed, this condition evolves towards uterine rupture during pregnancy and requires emergency surgery with excision of the rudimentary horn.

show abstract

Section: Discussionsupporting

confidence: 52%

Rupture of a Rudimentary Uterine Horn: A Case Report

Didier¹,

Roland²,

Joachim³

et al. 2017

OJOG

View full text Add to dashboard Cite

show abstract

“…The classification of uterine malformations is described by the ASF [1]. A unicorn uterus with a rudimentary horn is rather rare; case-control studies have demonstrated that rudimentary horns are mainly right-sided, as in our patient, which is the case in about 60% of patients [5,12]. There is no evident explanation for this finding.…”

Section: Discussionmentioning

confidence: 55%

“…Usually, the ipsilateral ovary is of normal function, as it is not of Mullerian duct origin but may be abnormally located. Extra pelvic localisations have been described [5].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The non-communicating rudimentary horn: diagnostic and therapeutic challenges

et al. 2007

View full text Add to dashboard Cite

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.

show abstract

“…Generally, there is a functional endometrial layer and the horn does not combine with the unicornuate uterus (6) . Pregnancy occurs with the transperitoneal passage of the sperm cell or the fertilized ovum to the rudimentary horn (7) .…”

Section: Discussionmentioning

confidence: 99%