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

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 pregnanc...

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Main Authors: Leili Hafizi, Nayereh Ghomian
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2019-01-01
Series:International Journal of Reproductive BioMedicine
Subjects:
Online Access:https://doi.org/10.18502/ijrm.v17i1.3822
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author Leili Hafizi
Nayereh Ghomian
author_facet Leili Hafizi
Nayereh Ghomian
author_sort Leili Hafizi
collection DOAJ
description 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.
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spelling doaj.art-928b7e0d50c14e2a983974379dec94f72022-12-21T22:08:06ZengShahid Sadoughi University of Medical SciencesInternational Journal of Reproductive BioMedicine2476-37722019-01-0117677010.18502/ijrm.v17i1.3822Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case reportLeili Hafizi0Nayereh Ghomian1Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.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.https://doi.org/10.18502/ijrm.v17i1.3822twin pregnancyuterusmullerian ducts.
spellingShingle Leili Hafizi
Nayereh Ghomian
Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report
International Journal of Reproductive BioMedicine
twin pregnancy
uterus
mullerian ducts.
title Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report
title_full Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report
title_fullStr Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report
title_full_unstemmed Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report
title_short Twin pregnancy in the unicornuate uterus and non-communicating rudimentary horn: A case report
title_sort twin pregnancy in the unicornuate uterus and non communicating rudimentary horn a case report
topic twin pregnancy
uterus
mullerian ducts.
url https://doi.org/10.18502/ijrm.v17i1.3822
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AT nayerehghomian twinpregnancyintheunicornuateuterusandnoncommunicatingrudimentaryhornacasereport