Introduction. A unicornuate uterus accounts for 2.4 to 13% of all Müllerian anomalies. A unicornuate uterus with a non-communicating rudimentary horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract anomalies, abortions, and preterm deliveries. It has a poor reproductive outcome and pregnancy management is still unclear. Case presentation. We report a case of a 26-year-old Caucasian woman presenting with a unicornuate uterus with a non-communicating rudimentary horn. The diagnosis of the anomaly was based on two-dimensional and three-dimensional sonography. The excision of her symptomatic rudimentary horn and her ipsilateral fallopian tube was performed laparoscopically. The growth of the fetus was normal. At 20 weeks' pregnancy, her cervix started shortening and a tocolytic therapy was started. A cesarean delivery was successfully performed at 39 weeks and 4 days' gestation. Conclusions: Although the reproductive outcome of women with unicornuate uterus is poor, a successful pregnancy is possible. Routine excision of the rudimentary horn should be undertaken during non-pregnant state laparoscopically, and it would be necessary to screen such pregnancies for the development of intrauterine growth retardation with serial ultrasound assessments of the estimated fetal weight and the cervix length. © 2014 Caserta et al.; licensee BioMed Central Ltd.

Pregnancy in a unicornuate uterus: a case report / Caserta, Donatella; Mallozzi, Maddalena; Cristina, Meldolesi; Bianchi, Paola; Moscarini, Massimo. - In: JOURNAL OF MEDICAL CASE REPORTS. - ISSN 1752-1947. - STAMPA. - 8:1(2014), p. 130. [10.1186/1752-1947-8-130]

Pregnancy in a unicornuate uterus: a case report.

CASERTA, Donatella;MALLOZZI, MADDALENA;BIANCHI, Paola;MOSCARINI, Massimo
2014

Abstract

Introduction. A unicornuate uterus accounts for 2.4 to 13% of all Müllerian anomalies. A unicornuate uterus with a non-communicating rudimentary horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract anomalies, abortions, and preterm deliveries. It has a poor reproductive outcome and pregnancy management is still unclear. Case presentation. We report a case of a 26-year-old Caucasian woman presenting with a unicornuate uterus with a non-communicating rudimentary horn. The diagnosis of the anomaly was based on two-dimensional and three-dimensional sonography. The excision of her symptomatic rudimentary horn and her ipsilateral fallopian tube was performed laparoscopically. The growth of the fetus was normal. At 20 weeks' pregnancy, her cervix started shortening and a tocolytic therapy was started. A cesarean delivery was successfully performed at 39 weeks and 4 days' gestation. Conclusions: Although the reproductive outcome of women with unicornuate uterus is poor, a successful pregnancy is possible. Routine excision of the rudimentary horn should be undertaken during non-pregnant state laparoscopically, and it would be necessary to screen such pregnancies for the development of intrauterine growth retardation with serial ultrasound assessments of the estimated fetal weight and the cervix length. © 2014 Caserta et al.; licensee BioMed Central Ltd.
2014
pregnancy outcomes; congenital müllerian malformations; pregnancy unicornuate uterus; congenital uterine anomalies
01 Pubblicazione su rivista::01a Articolo in rivista
Pregnancy in a unicornuate uterus: a case report / Caserta, Donatella; Mallozzi, Maddalena; Cristina, Meldolesi; Bianchi, Paola; Moscarini, Massimo. - In: JOURNAL OF MEDICAL CASE REPORTS. - ISSN 1752-1947. - STAMPA. - 8:1(2014), p. 130. [10.1186/1752-1947-8-130]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/559457
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 14
  • Scopus 33
  • ???jsp.display-item.citation.isi??? ND
social impact