2
views
0
recommends
+1 Recommend
2 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Unicornuate Uterus with Noncommunicating Functional Rudimentary Horn as A Rare Cause of Secondary Dysmenorrhea: A Case Report

      case-report

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          ABSTRACT

          The female genital tract is formed by the paramesonephric ducts (Mullerian ducts). Most of the time, Paramesonephric ducts do not form properly, fuse together, or are reabsorbed during fetal development, leading to congenital uterine abnormalities. Outflow tract obstruction (hematometra, hematosalpinx), endometriosis, dysmenorrhea, infertility, and chronic pelvic pain are all more common in women with congenital Mullerian anomalies, as are obstetric complications, such as recurrent pregnancy loss, ectopic pregnancies, uterine rupture, preterm labor, malpresentations, and abortions. Dysmenorrhea is a common issue among adolescent girls who seek medical attention at the outpatient clinic due to a congenital uterine anomaly. Since there are multiple presentations and they are difficult to diagnose and manage, this topic remains an interesting field of study in obstetrics and gynecology. A case report of a unicornuate uterus that has noncommunicating functioning rudimentary horn and hematometra. The patient was a young, unmarried woman who presented with significant, acute abdominal pain.

          How to cite this article

          Dahifale SM, Vjay NR, Unicornuate Uterus with Noncommunicating Functional Rudimentary Horn as A Rare Cause of Secondary Dysmenorrhea: A Case Report. J South Asian Feder Obst Gynae 2023;15(3):365–367.

          Related collections

          Most cited references4

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Unicornuate uterus with a rudimentary non-communicating cavitary horn in association with VACTERL association: case report

          Background The unicornuate uterus is caused by abnormal or failed development of one Müllerian duct. Unicornuate uteri with functioning non-communicating rudimentary horns are susceptible to many gynaecologic and obstetric complications such as hematometra, endometriosis and ectopic pregnancy and thus surgical resection is usually recommended.. Case presentation We report a rare case of a unicornuate right uterus with rudimentary non-communicating (functional) cavitary left horn (class U4a) in a 17-year-old girl who was diagnosed with VACTERL association. She was presented to our centre with 3 years history of secondary sever dysmenorrhea. Pelvic magnetic resonance imaging revealed a normal uterus on the right side, a 7 × 8 cm left endometrioma, a tortuous dilated fluid-filled structure in the left hemipelvis, mostly represented left-sided hematosalpinx, and a well-defined lesion with thick enhancing wall in the left hemipelvis measuring 6.7 × 5.7 × 5.6 cm with a similar enhancement to the uterus in the right. She underwent laparotomy that showed a right unicornuate uterus with a normal cervix and a rudimentary non-communicating distended left horn. In addition, there was a left endometrioma and left hematosalpinx. Resection of the left communicating horn, left salpingectomy and left ovarian cystectomy were performed. The right tube and both ovaries were preserved. At 9-months follow up, the patient had a regular period and the pain subsided completely. Conclusion We report yet the second case of VACTERL association and unicornuate uterus with non-communicating functional rudimentary horn, in hope of expanding the knowledge of a rare occurrence. This case also highlights the importance of considering the diagnosis of Müllerian duct anomalies in patients with a history of other anomalies, and/or history of early-age secondary dysmenorrhea.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Unicornuate uterus with an obstructed rudimentary horn: A report of two cases with an imaging perspective

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Pregnancy in the Rudimentary Uterine Horn: Case report of an unusual presentation.

              A unicornuate uterus with a rudimentary horn is a uterine anomaly resulting from the incomplete development of one of the Müllerian ducts and an incomplete fusion with the contralateral side. Pregnancy in a rudimentary horn of the uterus is a rare clinical condition with a reported incidence of 1 in 100,000 to 140,000 pregnancies. Usually the diagnosis is missed and may present as an emergency with haemoperitoneum. The standard treatment is the surgical excision of the horn. A gravida 2, para 1 patient presented at 23 weeks' gestation with fetal demise. Repeated failed attempts at induction of labour raised the suspicion of an abnormally located pregnancy which was confirmed by magnetic resonance imaging. She underwent a laparotomy with right rudimentary horn excision. The final diagnosis of a non-communicating rudimentary horn pregnancy was made intraoperatively and was confirmed by histopathology. This case highlights the importance of an early ultrasound in detecting uterine anomalies and the need for high clinical suspicion.
                Bookmark

                Author and article information

                Journal
                JSAFOG
                Journal of South Asian Federation of Obstetrics and Gynaecology
                JSAFOG
                Jaypee Brothers Medical Publishers
                0974-8938
                0975-1920
                May-June 2023
                : 15
                : 3
                : 365-367
                Affiliations
                [1,2 ]Department of Obstetrics and Gynecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India
                Author notes
                Nikita R Vijay, Department of Obstetrics and Gynecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India, Phone: +91 7020680185, e-mail: nikitarvijay@ 123456gmail.com
                Article
                10.5005/jp-journals-10006-2259
                66ecc1c4-5d27-4dd0-9d01-b18b3c0def13
                Copyright © 2023; The Author(s).

                © The Author(s). 2023 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 12 March 2023
                : 15 April 2023
                : 31 July 2023
                Categories
                CASE REPORT
                Custom metadata
                jsafog-15-365.pdf

                Obstetrics & Gynecology
                Laparoscopic excision,Dysmenorrhea,Congenital uterine anomaly,Unicornuate uterus,Rudimentary horn

                Comments

                Comment on this article