Abstract
Unicornuate uterus with non-communicating rudimentary horn is a type of congenital uterine abnormality that occurs as a consequence of the arrested development of one of the two Müllerian ducts.Patients with unicornuate uterus have increased incidence of obstetric and gynaecological complications.We present a report of a clinical case of a 28-years-old female, who was referred to the hospital for evaluation of her infertility.The patient reported primary infertility and inability to conceive after 3-year period of regular unprotected intercourse.Transvaginal ultrasound, along with the preoperative evaluation were completed; however, no anomalies or irregularities were reported.Combined diagnostic simultaneous laparoscopy and hysteroscopy were performed to establish the diagnosis of unicornuate uterus with non-communicating rudimentary horn.The patient conceived spontaneously after diagnostic laparoscopy and hysteroscopy.During and after pregnancy, our patient and her child experienced numerous complications (cervical incompetence, acute chorioamnionitis, acute fetal distress, pneumonia, septic shock) and procedures (cervical cerclage, urgent cesarean section, intensive care unit treatment) without significant fetal or maternal compromise.
Reference15 articles.
1. 1. Laufer MR, DeCherney AH. Congenital uterine anomalies: Clinical manifestations and diagnosis. [accessed 2019 Oct 9]. Available from: https://www.uptodate.com/contents/congenital-uterine-anomalies-clinical-manifestations-and-diagnosis//
2. 2. Grimbizis GF, Gordts S, Sardo ADS, Brucker S, De Angelis C, Gergolet M, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013 Aug; 28(8): 2032-2044. https://doi.org/10.1093/humrep/det098
3. 3. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhesions. Fertil Steril. 1988 Jun; 49(06): 944-955.
4. 4. Chan YY, Jayaprakasan K, Zamora J, Thornton JG, Raine-Fenning N, Coomarasamy A. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011 Nov-Dec; 17(6): 761-71. https://doi.org/10.1093/humupd/dmr028
5. 5. Simón C, Martinez L, Pardo F, Tortajada M, Pellicer A. Müllerian defects in women with normal reproductive outcome. Fertil Steril. 1991 Dec; 56(6): 1192-3. https://doi.org/10.1016/S0015-0282(16)54741-4
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献