Abstract

 
 
 A unicornuate uterus varies from 2.4 to 13% among Müllerian anomalies and most of them have rudimentary (functional) cavity. Patients with rudimentary horns that contain functional endometrium are at the risk of gynecological and obstetric complications such as ectopic pregnancy, hematometra, endometriosis and poor pregnancy outcomes. These reports describe two cases. One of them regards of a successful pregnancy in non- communicating rudimentary horn of unicornuate uterus and postpartum clinical manifestation of it and another one describes adenomyosis in rudimentary horn. In both cases were difficulties of differential diagnosis of uterus anomalies.
 
 
Highlights
The prevalence of unicornuate uterus accounts for 2.4 to 13% of all Müllerian anomalies [1]
The rudimentary horn with functional endometrium often associated with ectopic pregnancies
The unicornuate uterus with a non-communicating rudimentary horn may be associated with infertility, endometriosis, hematometra, urinary tract anomalies, abortions, and preterm deliveries [1, 3]
Summary
The prevalence of unicornuate uterus accounts for 2.4 to 13% of all Müllerian anomalies [1]. The unicornuate uterus with a non-communicating rudimentary horn may be associated with infertility, endometriosis, hematometra, urinary tract anomalies, abortions, and preterm deliveries [1, 3]. Case 1 We report a case of a successful pregnancy in non-communicating rudimentary horn of unicornuate uterus and postpartum clinical manifestation of it. The first time uterine anomaly was diagnosed by two-dimensional (2D) ultrasound seven years ago It was classified as a uterus bicornis. The patient could not become pregnancy for five years She had undergone hysterolaparoscopy for evaluation of case of infertility in 2013, where uterus bicornis with decreasing size of right horn was diagnosed (uterus anomaly was not classified correctly) and the coagulation of endometriosis of right ligamentum sacro-uterine was performed. Small cysts were found in the right ovary (Fig. 1)
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