Case Report


Management of bicornuate uterus non-communicating rudimentary uterine horn: A case report

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1 Department of Obstetrics and Gynecology, Center for Ultrasound and Prenatal Medicine, Buergerhospital and Clementine Kinderhospital, Nibelungenallee 37-41, 60318 Frankfurt am Main, Germany

2 Department of Obstetrics and Perinatal Medicine, Asklepios Hospital Bamberk, Rübenkamp 220, 22307 Hamburg, Germany

Address correspondence to:

Felix Sierra

Department of Obstetrics and Gynecology, Centre for Ultrasound and Prenatal Medicine, Buergerhospital and Clementine Children’s Hospital, Frankfurt am Main,

Germany

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Article ID: 100073Z08FS2021

doi: 10.5348/100073Z08FS2021CR

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How to cite this article

Sierra F, von Gehren F, Spahn S, Nowraty I, Kyvernitakis I, Bahlmann F. Management of bicornuate uterus non-communicating rudimentary uterine horn: A case report. J Case Rep Images Obstet Gynecol 2021;7: 100073Z08FS2021.

ABSTRACT


A pregnancy in a non-communicant rudimentary horn is a rare but serious complication. Patients with bicornuate uterus non-communicating have an increased risk of obstetrical complications, such as abortion, intrauterine growth restriction, and fetal demise. Uterus bicornuate non-communicant rudimentary horn (UBNCRH) is a rare malformation of the uterus. The presence of uterus bicornuate non-communicant rudimentary horn poses a great challenge for a gynecologist because that occurs due to the transperitoneal migration of the sperm or the zygote during the implantation period and the Muellerian anomalies are often asymptomatic. We report a case of 28-year-old female with a twin dichorionic diamniotic pregnancy with pain and vaginal bleeding in the 16 weeks of gestation with a UBNCRH.

Keywords: Cesarean parva, Muellerian duct abnormality type IIB, Uterus bicornuate non-communicant rudimentary horn

SUPPORTING INFORMATION


Acknowledgments

The authors would like to thank the patient for the consent to publish this case.

Author Contributions

Felix Sierra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Friederike von Gehren - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Stephan Spahn - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Ines Nowraty - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Ioannis Kyvernitakis - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Franz Bahlmann - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Felix Sierra et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.