Pregnancy in the Rudimentary Uterine Horn Case report of an unusual presentation
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 1
Abstract
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. Te 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 confrmed by magnetic resonance imaging. She underwent a laparotomy with right rudimentary horn excision. Te fnal diagnosis of a non-communicating rudimentary horn pregnancy was made intraoperatively and was confrmed by histopathology. Tis case highlights the importance of an early ultrasound in detecting uterine anomalies and the need for high clinical suspicion.
Authors and Affiliations
Qamariya Ambusaidi| Department of Obstetrics & Gynecology, Royal Hospital, Muscat, Oman, Chitra Jha| Department of Obstetrics & Gynecology, Royal Hospital, Muscat, Oman
Keywords
Related Articles
- EP ID EP14434
- DOI -
- Views 292
- Downloads 10
Rituximab Treatment in Myasthaenia Gravis: Report of two paediatric cases
Myasthaenia gravis (MG) is an autoimmune disease involving the postsynaptic receptors in the neuromuscular junction. The condition is characterised by fatigable weakness of the skeletal muscles and is uncommon in childre...
Contraceptive Utilisation Among Mothers of Reproductive Age in Ajman, United Arab Emirates
Objectives: Tis study aimed to determine contraceptive utilisation among mothers aged 18–49 years old in Ajman, United Arab Emirates (UAE). Methods: Tis cross-sectional study was carried out from May to November 2013...
Te Relationship between Hysteroscopy, Endometrial Biopsy andTe Results of Transvaginal Sonography in Assessing Endometrial Polyps
Objective: Transvaginal Sonography (TVS) is being used in the investigation of postmenopausal bleeding (PMB). Te bleeding could be the result of a number of factors; endometrial polyps are one of the common findings in...
Effectiveness of Misoprostol for Induction of First-Trimester Miscarriages Experience at a single tertiary care centre in Oman
Objectives: Non-invasive methods of inducing a miscarriage are now considered an effective alternative to surgical evacuation (dilatation and curettage). Tis study aimed to evaluate the effectiveness of misoprostol in...
Enemy within? The silent epidemic of substance dependency in GCC countries
THE USE OF NATURALLY OCCURRING MOOD- altering substances is deeply rooted in the traditions and cultures of many communities worldwide. As documented in other societies and historical records,1,2 various compounds have...