Rudimentary horn is a developmental anomaly of the uterus. Pregnancy in a non-communicating rudimentary horn is very difficult to diagnose before it ruptures. A case of undiagnosed rudimentary horn pregnancy at 22 weeks presented to Nizwa regional referral hospital in shock with features of acute abdomen. Chances of rupture in first or second trimester are increased with catastrophic haemorrhage leading to increased maternal and perinatal morbidity and mortality. Management of such cases is a challenge till today due to diagnostic dilemma. Expertise in ultrasonography and early resort to surgical management is life saving in such cases.
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http://dx.doi.org/10.4103/0300-1652.104391 | DOI Listing |
BMJ Case Rep
January 2025
Obstetrics & Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia
J Minim Invasive Gynecol
December 2024
Indigo womens centre, Chennai, India. Electronic address:
A 23-year-old woman, conceived by ovulation induction presented at 10 weeks amenorrhea with abdominal pain and a positive urinary Beta HCG. 2D ultrasound suggested a right-sided ectopic pregnancy. On 3D ultrasound imaging, an unicornuate uterus with a right rudimentary horn pregnancy of size 6 cm was diagnosed [Figure 1].
View Article and Find Full Text PDFCureus
November 2024
Medicine, Gulf Medical University, Ajman, ARE.
A defect in the fusion of Müllerian ducts results in the uterine malformation of the bicornuate uterus. The bicornuate uterus is an uncommon condition, and it is associated with adverse early pregnancy and antenatal events, such as recurrent miscarriages, preterm labor, and delivery. The bicornuate uterus has two symmetric uterine cavities that are fused caudally and have some degree of communication between the two cavities, usually at the uterine isthmus.
View Article and Find Full Text PDFJ Clin Med
November 2024
Division of Gynaecology, Poznan University of Medical Sciences, Polna 33, 60-535 Poznan, Poland.
Women with an aplastic uterus (ESHRE/ESGE classification) or Müllerian agenesis (ASRM MAC 2021) might present with functional uterine remnants. Our study aimed to report the clinical course of symptomatic uterine rudiments in adolescents and adults with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS). This study involved 20 patients with MRKHS who, between 2012 and 2023, underwent surgery for symptomatic uterine horns at the mean age of 25.
View Article and Find Full Text PDFCureus
October 2024
Reproductive Endocrinology and Infertility, IVFMD-South Florida Institute for Reproductive Medicine, Cooper City, USA.
A non-communicating rudimentary uterine horn is a Müllerian abnormality that manifests due to abnormal Müllerian duct development. This abnormality is associated with endometriosis, infertility, and pregnancy complications, including ectopic pregnancy, abnormal fetal presentation, abruption, increased fetal mortality and morbidity, preterm rupture of membranes, preterm birth, intrauterine growth restriction, and uterine rupture. If pregnancy does occur, there is a high risk of complications, most notably rupture of the rudimentary horn.
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