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Case Series
Magnetic resonance imaging of non-communicating rudimentary horn with pregnancy and placenta accreta in a unicornuate uterus
1 Radiology Resident, Department of Medical Imaging, Rambam Health Care Campus, Haifa, Israel
2 Staff Radiologist, Rambam Health Care Campus, Haifa, Israel
3 Obstetrics and Gynecology Resident, Rambam Health Care Campus, Haifa, Israel
4 Head of the Division of Gynecologic-Oncology, Rambam Health Care Campus, Haifa, Israel
5 Director of Maternal-Fetal Medicine Service, Rambam Health Care Campus, Haifa, Israel
6 Chairman of Medical Imaging, Rambam Health Care Campus, HaAliya HaShniya St 8, Haifa, Israel
Address correspondence to:
Marcia C Javitt
MD, Director of Medical Imaging, Rambam Health Care Campus, Haifa 310961, Israel; Adjunct Professor of Radiology, The George Washington University School of Medicine, 2300 I St NW, Washington, DC 20052, USA; Chairman of Medical Imaging, Rambam Health Care Campus, HaAliya HaShniya St 8, Haifa 3109601,
Israel
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Article ID: 100088Z08BS2021
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How to cite this article
Sokolovski B, Abadi S, David CB, Amit A, Solt I, Javitt MC. Magnetic resonance imaging of non-communicating rudimentary horn with pregnancy and placenta accreta in a unicornuate uterus. J Case Rep Images Obstet Gynecol 2021;7:100088Z08BS2021.ABSTRACT
Introduction: Mullerian anomalies are associated with an increased incidence of obstetrical complications including fetal demise. One such anomaly that can have dire consequences for both the pregnant mother and the fetus is the unicornuate uterus with a gravid noncommunicating rudimentary horn.
Case Series: Prompt diagnosis is critically important but often challenging using ultrasonography (US). Magnetic resonance imaging (MRI) can be decisive for accurate diagnosis, timely management, and optimization of outcome, especially in cases in which US is indeterminate. The first case demonstrates the relevant anatomy in a 12-year-old non-gravid female who presented with right lower quadrant pain. MRI showed a normal appendix and enabled identification of the congenital uterine anomaly. In the second case, MRI accurately showed a gravid noncommunicating rudimentary horn at 28 weeks gestation as well as four placental units with placenta accreta.
Conclusion: MRI can be essential in the diagnosis of and treatment planning for a unicornuate uterus with a gravid non-communicating rudimentary horn.
Keywords: MRI, Placenta accreta, Rudimentary horn pregnancy, Unicornuate uterus
SUPPORTING INFORMATION
Acknowledgments
The authors wish to thank Dr. Ari Reiss for his kind assistance with assembling the team of authors for this project. We thank Elsevier for permission to reproduce the material included in Table 1 of this manuscript.
Author ContributionsBoris Sokolovski - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sobhi Abadi - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Chen Ben David - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Amnon Amit - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ido Solt - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Marcia C Javitt - 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
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Boris Sokolovski 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.
