María Luisa Sánchez-Ferrer1, María Teresa Prieto-Sanchez2, Francisco Sánchez Del Campo3. 1. Department of Obstetrics & Gynecology, "Virgen de la Arrixaca" University Clinical Hospital, 30120 El Palmar (Murcia), Spain. Electronic address: marisasanchez@um.es. 2. Department of Obstetrics & Gynecology, "Virgen de la Arrixaca" University Clinical Hospital, 30120 El Palmar (Murcia), Spain. 3. Department of Histology and Human Anatomy, Medicine School, Miguel Hernandez University, Alicante, Spain.
Abstract
OBJECTIVE: The unicornuate uterus is a rare uterine malformation (2.4-13.7% of all uterine malformations (Engmann et al., 2004)) which usually features a rudimentary accessory horn in more than 75% of the cases. Pregnancy in the rudimentary horn is rare, but the complications attached to such pregnancies could be defined as the first clinical manifestation of rudimentary horn. CASE REPORTS: We hereby describe five cases of unicornuate uterus with rudimentary horn (UUWRH), each one with a different clinical presentation and without any correct preoperative diagnosis, and henceforth reflect on the practical aspects learnt about the differential diagnosis and management of this rare malformation. CONCLUSION: Our experience with UUWRH is that perhaps asymptomatic cases are not as rare as reported in medical literature. We highlight the need for a greater awareness of the differential diagnosis of genital malformations and accurate in the exact subtype and their correct treatment.
OBJECTIVE: The unicornuate uterus is a rare uterine malformation (2.4-13.7% of all uterine malformations (Engmann et al., 2004)) which usually features a rudimentary accessory horn in more than 75% of the cases. Pregnancy in the rudimentary horn is rare, but the complications attached to such pregnancies could be defined as the first clinical manifestation of rudimentary horn. CASE REPORTS: We hereby describe five cases of unicornuate uterus with rudimentary horn (UUWRH), each one with a different clinical presentation and without any correct preoperative diagnosis, and henceforth reflect on the practical aspects learnt about the differential diagnosis and management of this rare malformation. CONCLUSION: Our experience with UUWRH is that perhaps asymptomatic cases are not as rare as reported in medical literature. We highlight the need for a greater awareness of the differential diagnosis of genital malformations and accurate in the exact subtype and their correct treatment.
Authors: Ângela Rodrigues; Ana Raquel Neves; Maria Geraldina Castro; Miguel Branco; Fernanda Geraldes; Fernanda Águas Journal: Case Rep Womens Health Date: 2019-10-31