Abstract
A unicornuate uterus ranges from 1 in 1000 to 1 in 5400 women and 74-90% of them will have rudimentary uterine horn. Patients with non-communicating uterine horns that contain functional endometrium are at an increased risk of ectopic pregnancy, hematometra, hematosalpinx, endometriosis and poor pregnancy outcomes. This report describes a case of a successful pregnancy in non-communicating rudimentary horn of unicornuate uterus and postpartum clinical manifestation of it and difficulties of differential diagnosis of uterus anomalies.
Highlights
The unicornuate uterus results from the normal development of one Müllerian duct and absent or incomplete development of the contralateral duct
CASE REPORT AND DISCUSSION We report a case of a successful pregnancy in non-communicating rudimentary horn of unicornuate uterus and postpartum clinical manifestation of it
The patient informed that she regularly attended the routine antenatal care provided in her hometown’s health unit but she was not said about the risk of a rudimentary horn rupture due to misdiagnosis of uterus anomaly
Summary
The diagnosis and the management of the rudimentary uterine horn are often a challenge. Complete removal of a communicating or non-communicating functional rudimentary horn with or without pregnancy in it is always recommended to prevent menstrual and pregnancy complications
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