TITLE:
The perplexing entity of rudimentary uterine horn
AUTHORS:
Ria Malik, A. G. Radhika, Alpana Singh, Gita Radhakrishnan, Rachna Aggarwal
KEYWORDS:
Rudimentary Uterine Horn; Chronic Pelvic Pain; Laproscopic Management; Abdominal Pregnancy; Ruptured Rudimentary Horn
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.1 No.4,
November
21,
2011
ABSTRACT: A rudimentary uterine horn may be responsible for intriguing presentations in different stages of life. These presentations often masquerade commoner gynaecologic disorders resulting in diagnostic and management challenges for the treating clinicians. Whereas many of these anomalies may be discovered during the investigative workup for cryptomenorrhoea, dysmenorrhoea and infertility, lack of symptoms especially in a parous woman, a large proportion remains undiagnosed. We report here, two interesting presentations of this benign entity resulting in significant morbidity. The first case report describes late activation of a rudimentary horn presenting as chronic pelvic pain. The second patient presented with a failed second trimester induction of labor (abortion) for fetal demise. Her examination and investigations suggested an abdominal pregnancy, yet, on laparotomy, a 15 week pregnancy within an accessory uterine horn was discovered.