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Hafizi, L., & Ghomian, N. (2019). Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report. International Journal of Reproductive BioMedicine (IJRM), 17(1), 67-70. https://doi.org/10.18502/ijrm.v17i1.3822

https://doi.org/10.18502/ijrm.v17i1.3822

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  • Leili Hafizi
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  • Nayereh Ghomian
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Published Date

  • Mar 7, 2019

Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report

International Journal of Reproductive BioMedicine (IJRM) / International Journal of Reproductive BioMedicine (IJRM): Volume 17, Issue No. 1 / Pages 67-70

Abstract

Background: A unicornuate uterus is present in 0.1% of the general population. This müllerian anomaly carries significant obstetrical risk including abortion, preterm delivery, and rudimentary horn ruptures.


Case: The patient is a 24-yr-old primigravida with 12-wk gestational age and a twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn. One fetus in the unicornuate uterus and other in the rudimentary horn that was ruptured. In urgent laparotomy rudimentary horn and fallopian tube excised. Pregnancy in the unicornuate uterus was continued and at 38-wk gestational age, cesarean section due to premature rupture of the membrane was performed and then normal fetus was delivered.


Conclusion: Twin pregnancy in a unicornuate uterus and rudimentary horn is a rare condition that carries a considerable risk to the mother. There is a need for increased awareness of this rare condition to prevent maternal morbidity and mortality.


Key words: Twin pregnancy, Uterus, Mullerian ducts.

References
[1] Caserta D, Mallozzi M, Meldolesi C, Bianchi P, Moscarini M. Pregnancy in a unicornuate uterus: a case report. J Med Case Rep 2014; 8: 130.

[2] Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril 2009; 91:1886–1894.

[3] Chan YY, Jayaprakasan K, Tan A, Thornton JG, Coomarasamy A, Raine-Fenning NJ. Reproductive
outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol 2011; 38:371–382.

[4] Hua M, Odibo AO, Longman RE, Macones GA, Roehl KA, Cahill AG. Congenital uterine anomalies and adverse
pregnancy outcomes. Am J Obstet Gynecol 2011; 205: 558.e1–5.

[5] Thakur S, Sood A, Sharma C. Ruptured noncommunicating rudimentary horn pregnancy at 19weeks with previous cesarean delivery: a case report. Case Rep Obstet Gynecol 2012; 2012: 308476–308480.

[6] Oza HV, Vohra HM, Patel NH, Shethna DY. Pregnancy In Rudimentary Horn: A rare entity. Gujarat Med J 2015; 70:65–66.

[7] Kumar A, Deepika N. Ruptured non-communicating rudimentary horn of unicornuate uterus at 14 weeks of
pregnancy: a case report. Global J Med Public Health2013; 2: 1–4

[8] Rackow BW, Arici A. Reproductive performance of women with müllerian anomalies. Curr Opin Obstet Gynecol 2007;19: 229–237.

[9] Nanda S, Dahiya K, Sharma N, Aggarwal D, Sighal SR, Sangwan N. Successful twin pregnancy in a unicornuate
uterus with one fetus in the non-communicating rudimentary horn. Arch Gynecol Obstet 2009; 280: 993–995.

[10] Nahum GG. Rudimentary uterine horn pregnancy. A case report on surviving twins delivered eight days apart. J Reprod Med 1997; 42: 525–532.

[11] Okonta PI, Abedi H, Ajuyah C, Omo-Aghoja L. Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: a case report. Cases J 2009; 2: 6624–6626.

[12] Nahum GG. Rudimentary uterine horn pregnancy. The 20th-century worldwide experience of 588 cases. J Reprod Med 2002; 47: 151–163.