Clinical Presentation and Diagnostic Dilemma in Management of Unicornuate Uterus with Canalised Rudimentary HornA Case Series

Abstract

A unicornuate uterus is the result of abnormal or failed development of one Mullerian duct. Partial development of one mullerian duct leads to a rudimentary uterine horn. This can lead to various gynaecological and obstetric problems and diagnostic dilemma. Over the past 10 years, the authors have witnessed about eight cases of unicornuate uterus with canalised rudimentary horn presenting as a wide spectrum of obstetric and gynaecological problems. Two cases presented as dysmenorrhoea, one was diagnosed as a part of infertility work-up and the rest presented with varied obstetric complications. Most of the cases underwent excision of the rudimentary horn with unilateral salpingectomy. High clinical suspicion and knowledge about varied presentation is important for early diagnosis in such cases and to avert the clinical complications.

Keywords

• mullerian ducts
• unilateral salpingectomy
• uterine anomaly