Unicornuate uterus and pregnancy outcome: a case report

Vineet Mishra, Priyankur Roy, Bhumika Vyas, Rohina Aggarwal, Shaheen Hokabaj, Raveendra Gondhali
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 4522–4524 · doi:10.18203/2320-1770.ijrcog20164379 · W2553953566
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This case report describes a pregnancy in a 25-year-old primigravida with a unicornuate uterus, who delivered a growth-retarded baby via emergency cesarean section, highlighting potential obstetric complications but also favorable outcomes with good management.

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This paper is a case report describing pregnancy outcome in a 25-year-old primigravida with an incidentally discovered unicornuate uterus. At 38 weeks 3 days she was admitted with leaking per vaginum, induced with PGE2 gel under antibiotic coverage, and ultimately underwent emergency caesarean section for failure to progress, during which a unicornuate uterus was found along with a contralateral fallopian tube directly attached to the ovary. The newborn cried immediately but was growth retarded (IUGR). The authors emphasize that women with unicornuate uterus can have increased obstetric complications, but as a single case report, the paper provides limited generalizability. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Mullerian duct anomalies (MDAs) are congenital defects of the female genital tract that arise from abnormal embryological development of the Mullerian ducts. Unicornuate uterus with or without rudimentary horn is developmental anomaly which occurs due to abnormal or failed development of one of the paired mullerian duct or fusion of the ducts. Women with unicornuate uterus have increased incidence of obstetric complications like spontaneous abortions, preterm delivery and intrauterine foetal demise and gynaecological complications like infertility, endometriosis and dysmenorrhoea. A 25 years old, primigravida was admitted at 38 weeks 3 days gestational age with complaints of leaking per vaginum. She was induced with PGE2 gel under antibiotic coverage to prevent chorioamnionitis. She underwent emergency caesarean section for failure to progress and intra-operatively she was incidentally found to have unicornuate uterus with contralateral fallopian tube directly getting attached to the ovary. The baby cried immediately after birth, though it was growth retarded (IUGR). If pregnancy with unicornuate uterus is managed well, it can result in favourable obstetric outcome.
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Unicornuate uterus and pregnancy outcome: a case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20164379Keywords: Caesarean section, IUGR unicornuate uterusAbstract Mullerian duct anomalies (MDAs) are congenital defects of the female genital tract that arise from abnormal embryological development of the Mullerian ducts. Unicornuate uterus with or without rudimentary horn is developmental anomaly which occurs due to abnormal or failed development of one of the paired mullerian duct or fusion of the ducts. Women with unicornuate uterus have increased incidence of obstetric complications like spontaneous abortions, preterm delivery and intrauterine foetal demise and gynaecological complications like infertility, endometriosis and dysmenorrhoea. A 25 years old, primigravida was admitted at 38 weeks 3 days gestational age with complaints of leaking per vaginum. She was induced with PGE2 gel under antibiotic coverage to prevent chorioamnionitis. She underwent emergency caesarean section for failure to progress and intra-operatively she was incidentally found to have unicornuate uterus with contralateral fallopian tube directly getting attached to the ovary. The baby cried immediately after birth, though it was growth retarded (IUGR). If pregnancy with unicornuate uterus is managed well, it can result in favourable obstetric outcome.Metrics Metrics Loading ... Downloads Published 2016-12-07 How to Cite Mishra, V., Roy, P., Vyas, B., Aggarwal, R., Hokabaj, S., & Gondhali, R. (2016). Unicornuate uterus and pregnancy outcome: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(12), 4522–4524. https://doi.org/10.18203/2320-1770.ijrcog20164379 Issue Section Case Reports

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endometriosisdysmenorrheainfertility

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