Clinical Spectrum of Unicornuate Uterus with Noncommunicating Rudimentary Horn: Five-Year Analysis at a Tertiary Care Center

Abstract

Abstract

Objective: The aim of this study was to analyze gynecologic and obstetrical morbidities associated with unicornuate uterus with rudimentary horn and to plan future management strategies for patients with this condition. Materials and Methods: This was a retrospective study of 38 patients with unicornuate uterus with rudimentary horn found on laparotomy. The research was carried out at the Postgraduate Institute of Medical Sciences in Rohtak, Haryana, India, from April 2007 to March 2012. The patients' clinical details were reviewed and management of the cases was analyzed. Results: Of 38 patients, 4 were adolescents who presented with dysmenorrhea and had hematometra in a noncommunicating rudimentary horn on laparotomy. Eighteen patients had rudimentary horn pregnancy and 17 presented in the second trimester. All patients underwent laparotomy, 12 for hemoperitoneum and 5 for failed induction. Preoperative diagnosis was suspected clinically in 13/18 cases. Sixteen patients had pregnancy in the semiuterus, and diagnosis of unicornuate uterus with rudimentary horn was made incidentally during cesarean section. In all cases, excision of the rudimentary horn along with ipsilateral salpingectomy was performed. Conclusions: Unicornuate uterus with rudimentary horn is a rare clinical entity associated with many gynecologic and obstetrical morbidities. Early diagnosis and timely treatment is the key to better management. (J GYNECOL SURG 30:87)