A Rare Case of Non Communicating Rudimentary horn with Unicornuate uterus.
Keywords:
Unicornuate Uterus, Rudimentary Horn, Endometriosis
Abstract
Mullerian duct malformations delineate a miscellaneous group of congenital anomalies that result from the arrested development ,abnormal formation, or incomplete fusion of the mesonephric ducts. Unicornuate uterus with rudimentary horn is a rare mullerian duct anomaly of female genital tract. The frequency of this pathology is 1/100 000. It is responsible for many obstetrics and gynecological complications during reproductive life of women. These uterine anomalies are either diagnosed incidentally or the patient may present with obstetrical or gynecological problems. These patients present with dysmenorrhea,dyspareunia, and rarely chronic pelvic pain because of endometriosis and rarely with acute abdominal symptoms following distention and torsion of the non communicating rudimentary horn. We present a case of pelvic endometriosis due to non communicating but functional rudimentary horn of a uterus in a multiparous woman .References
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8. The American Fertility Society classification of adenexal adhesions, distal tubal occlusion, secondary to tubal ligation , tubal pregnancies, mullerian anomalies and intrauterine adhesions . Fetil Steril. 1988;49:944-955 .
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11. Perrotin F ,Bertand J Body G Laparoscopic surgery of Unicornuate uterus with rudimentary uterine horn : Case Report . Hum Reprod 1999 ;14(4):931-933.
12. F.F Marshall and D.S . Beisel . ‘The association of uterine and renal anomalies’ ,”obstetrics and gynecology , vol 51 , no5, pp559-562, 1978.
13. Amara, D .P. Nezhat , F Gludice ,L .etal ,1997.Laproscopic management of a non communicating uterine horn in a patient of an acute abdomen .Surg . Laparoscope .Endorse , 7,56-59.
14. Heinonen PK. (1997). Unicornuate uterus and rudimentary horn. Fertil.Steril ,168,224-230.
15. Canis M, Wattiez ,A Pouly .J Letal s (1990) .Laparoscopic management of Unicornuate uterus with rudimentary horn and unilateral extensive endometriosis : case report .Hum Repro,5, 819-820.
2. C .Simon ,L. Martizeg , F Pardo , M Tortajado, and A Pellicar, ‘Mullerian defects in women and normal reproductive outcome , Fertility and Sterility , volume 12 ,no ,pp. 2277-2281,1997.
3. Atmaca R, German AT , Burak F, Kafkash ;A. Acute abdomen in a case with non communicating rudimentary horn and Unicornuate uterus .JSLS 2005 ; 9(2) 235-237.
4. Kuskan N K , Lacin S ,Kartal O . Rupture of rudimentary horn pregnancy at 15th week of gestation: a case report. Eur J Obstet Gynecol Reprod Biol.2002; 102 :209-210 [Pubmed]
5. The American Fertility Society classification of adenexal adhesions, distal tubal occlusion, secondary to tubal ligation , tubal pregnancies, mullerian anomalies’ and intrauterine adhesions . Fetil Steril. 1988;49:944-955.
6. Shattman GL, G rifo JA Brinbaun S Laparoscopic resection of non communicating rudimentary uterine horn : Case Report .J Reprod Med 1995; 40 :219-220.
7. Crosby WM, Hill EC . Embryology of the mullerian duct system Review of present day theory . Obstet Gynecol 1962;20:507-15 .
8. The American Fertility Society classification of adenexal adhesions, distal tubal occlusion, secondary to tubal ligation , tubal pregnancies, mullerian anomalies and intrauterine adhesions . Fetil Steril. 1988;49:944-955 .
9. Speroff L , Glass RH , Kase NG . Clinical Gynecologic Endocrinology and Infertility. 6th ed .Baltimore ,Md: Lippincott, Williams & Wilkins;1999:148.
10. March CM .Hysteroscopy and the uterine factor in infertility . In Lobo RA, Mishell DR ,Paulson RJ, Shoupe D , eds.Mishells Textbook of infertility , contraception , Reproductive Endocrinology .4th ed Malden , Mass: Blackwell Science ; 1997:580-603.
11. Perrotin F ,Bertand J Body G Laparoscopic surgery of Unicornuate uterus with rudimentary uterine horn : Case Report . Hum Reprod 1999 ;14(4):931-933.
12. F.F Marshall and D.S . Beisel . ‘The association of uterine and renal anomalies’ ,”obstetrics and gynecology , vol 51 , no5, pp559-562, 1978.
13. Amara, D .P. Nezhat , F Gludice ,L .etal ,1997.Laproscopic management of a non communicating uterine horn in a patient of an acute abdomen .Surg . Laparoscope .Endorse , 7,56-59.
14. Heinonen PK. (1997). Unicornuate uterus and rudimentary horn. Fertil.Steril ,168,224-230.
15. Canis M, Wattiez ,A Pouly .J Letal s (1990) .Laparoscopic management of Unicornuate uterus with rudimentary horn and unilateral extensive endometriosis : case report .Hum Repro,5, 819-820.
Published
2016-10-20
Issue
Section
Case Reports
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