Unicornuate Uterus with Recurrent Breech Presentation

Dr. Manju Prabhakar, Dr. Niharika Aggarwal, Dr. Ruchi Bansal
2025 · doi:10.5281/zenodo.16813999 · W6912293179
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-14 ⓘ

Pregnancy in a unicornuate uterus, a rare Müllerian anomaly, increases risks for maternal and fetal complications, including malpresentation like recurrent breech.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-14 · read from full text ⓘ

The paper describes a rare case context in which a unicornuate uterus results from defective Müllerian duct fusion and highlights that pregnancy in a unicornuate uterus is associated with maternal and fetal risks. It specifically notes that unicornuate uteri with non-communicating rudimentary horns can lead to complications including hematometra, endometriosis, and ectopic pregnancy, and that patient characteristics include increased likelihood of preterm labor, endometriosis, and malpresentation, exemplified by recurrent breech presentation. The main limitation is that this is a descriptive report rather than a study with systematic data collection or outcome comparisons. Relevance to endometriosis: the paper mentions endometriosis as a gynecologic complication specifically associated with unicornuate uterus with non-communicating rudimentary horns, though the main focus is on the uterine malformation and recurrent breech presentation.

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Abstract

Malformations of uterus are generally rare and are due to defective fusion of the mullerian duct. One of the most common mullerian anomaly is septate uterus, and the incidence of unicornuate uterus with or without rudimentary horn is 0.1%of general population. Pregnancy in a unicornuate uterus is a rare event and has maternal and foetal risks. Unicornuate uteri with non-communicating rudimentary horns are susceptible to many gynaecologic and obstetric complications such as hematometra, endometriosis and ectopic pregnancy and thus surgical resection is usually recommended. Patient with unicornuate uterus is more likely to experience preterm labour, endometriosis and malpresentation.
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Unicornuate Uterus with Recurrent Breech Presentation Authors/Creators Description Malformations of uterus are generally rare and are due to defective fusion of the mullerian duct. One of the most common mullerian anomaly is septate uterus, and the incidence of unicornuate uterus with or without rudimentary horn is 0.1%of general population. Pregnancy in a unicornuate uterus is a rare event and has maternal and foetal risks. Unicornuate uteri with non-communicating rudimentary horns are susceptible to many gynaecologic and obstetric complications such as hematometra, endometriosis and ectopic pregnancy and thus surgical resection is usually recommended. Patient with unicornuate uterus is more likely to experience preterm labour, endometriosis and malpresentation. Files IJCRM20254480.pdf Files (390.5 kB) | Name | Size | Download all | |---|---|---| | md5:0c5c8dacffa6d4900489e0487f6cb2e1 | 390.5 kB | Preview Download |

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