Live Pregnancy in Non Communicating Horn of Unicornuate Uterus with Placenta Percreta: A Case Report and Review
Journal Title: Journal of Woman’s Reproductive Health - Year 2017, Vol 1, Issue 4
Abstract
Objective: Mullerian anomalies of the female genital tract are rare and unicornuate uterus is one such variant: it may present with a rudimentary horn with or without a communication. Pregnancy is rare in a non communicating horn and majority of them end up in rupture during first trimester. The ones which progress to fetal viability are around 10 % and may end up in catastrophic hemorrhage with fetal loss at any time. Case report: We hereby report a rare case of unruptured rudimentary horn pregnancy associated with placenta accreta and delivery of a live born fetus at 34 weeks period of gestation. Around ten cases of such an association have been reported in the past. Conclusion: Diagnosis of pregnancy in a non communicating horn of a unicornuate uterus is challenging especially at term. High index of suspicion and timely delivery of a live fetus has major role in achieving best maternal and neonatal outcome.
Authors and Affiliations
DR. MINAKSHI ROHILLA, DR. PARUL ARORA, DR. RASHMI BAGGA, DR VANITA JAIN, DR GRV PRASAD
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