A Case of Unicornuate Uterus Accidentally Discovered During Patient’s Fourth Delivery

Meryem Hocaoğlu 1 * , Mehmet Kanter 2, Ahmet Göçmen 1
More Detail
1 İstanbul Medeniyet Üniversitesi Göztepe Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul
2 İstanbul Medeniyet Üniversitesi Tıp Fakültesi, Histoloji ve Embriyoloji Anabilim Dalı, İstanbul
* Corresponding Author
EUR J BASIC MED SCI, Volume 5, Issue 4, pp. 67-69. https://doi.org/10.21601/ejbms/9175
OPEN ACCESS
Download Full Text (PDF)

ABSTRACT

Unicornuate uterus with non-communicating rudimentary horn is a rare congenital uterine malformation. It may lead to a variety of infertility and obstetric complications. A 32-year-old woman - para III gravida IV - presented at the third stage of pregnancy with acute onset of severe right abdominal pain. Cesarean delivery with abdominal exploration were performed. During cesarean section a unicornuate uterus with a rudimentary horn was accidentally observed. This is a rare and interesting clinical example of patient who had four healthy babies as results of four uneventful pregnancies despite having a unicornuate uterus which carries a significant risk of infertility and advers pregnancy outcomes.
Keywords: Cesarean section, pregnancy, unicornuate uterus

CITATION

Hocaoğlu M, Kanter M, Göçmen A. A Case of Unicornuate Uterus Accidentally Discovered During Patient’s Fourth Delivery. Eur J Basic Med Sci. 2015;5(4):67-9. https://doi.org/10.21601/ejbms/9175

REFERENCES

  • Sadek SM, Ahmad RA, Atian H. Performance of the ESHRE/ESGE classification in differentiating anomalies of double uterine cavity in comparison with the ASRM classification. Middle East Fertility Society Journal 2016, 21:75-81.
  • Chan YY, Jayaprakasan K, Tan A, Thornton JG, Coomarasamy A, RaineFenning NJ: Reproductive outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol 2011, 38:371–382.
  • Grimbizis GF, Campo R. On behalf of the Scientific Committee of the Congenital Uterine Malformations (CONUTA) common ESHRE/ESGE working group, Gordts S, Brucker S, Gergolet M, Tanos V, Li T-C, De Angelis C, Di Spiezio Sardo A: Clinical approach for the classification of congenital uterine malformations. Gynecol Surg 2012, 9:119–129.
  • Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril 2009 91(5):1886-94.
  • Hua M, Odibo AO, Longman RE, Macones GA, Roehl KA, Cahill AG. Congenital uterine anomalies and adverse pregnancy outcomes. Am J Obstet Gynecol 2011; 205:558.e1-5.
  • Fedele L, Zamberletti D, Vercellini P, Dorta M, Candiani GB. Reproductive performance of women with unicornuate uterus. Fertil Steril 1987; 47(3):416-9.
  • Akar ME, Bayar D, Yildiz S, Ozel M, Yılmaz Z. Reproductive outcome of women with unicornuate uterus. Aust N Z J Obstet Gynaecol 2005;45(2):148-50.
  • Wang SJ, Oli M, Jinag L, Wang JL, Wei LH. Clinical analysis of 225 women with congenital uterine malformation. Zhonghua Fu Chan Ke Za Zhi. 2008;43(7):493-6.
  • Heinonen PK. Unicornuate uterus and rudimentary horn. Fertil Steril 1997;68(2):224 30.
  • Nathan S. Fox, Ashley S. Roman, Erica M. Stern, Rachel S. Gerber, Daniel H. Saltzman & Andrei Rebarber. Type of congenital uterine anomaly and adverse pregnancy outcomes. The Journal of Maternal-Fetal & Neonatal Medicine, 27:9, 949-953.
  • Nahra-Lynch M, Toffle RC. Multiple gestation in a unicornuate uterus. A case report. J Reprod Med. 1997;42(7):451-4.
  • Gerris J, Eulaers E, Joostens M, Jacquemyn Y, Loquet P, Verdonk P, Buytaert P. Successful triplet pregnancy in a patient with a unicornuate uterus with a cavitary communicating rudimentary horn. Hum Reprod 1993; 8(2):338-41.
  • Caserta D, Mallozzi M, Meldolesi C, Bianchi P, Moscarini M. Pregnancy in a unicornuate uterus: a case report. Journal of Medical Case Reports 2014; 8:130.
  • Domanski S. Full-term pregnancy in undeveloped auxialiary horn of uterus unicornis. Ginekol Pol. 1957; 28(2):139-42.