Buenrostro-Jáuregui M, Flores-Villalobos JM, Pinto-Torres RD, Rodríguez-Chávez JL, Hernández-Vázquez MC, Bańuelos-Franco A

Language: Spanish
References: 12
Page: 126-130
PDF size: 332.54 Kb.

ABSTRACT

Introduction: Congenital uterine dysgenesis result form abnormal embryological development of the Müllerian duct starting from the 6th gestational week. Assorted in 6 diff erent types according to the American Society of Reproductive Medicine (ASRM). Th ey are mostly asymptomatic, although, patients could present with amenorrhea, hemato colpos, dyspareunia, infertility, endometriosis and obstetric complications, such as miscarriage, ectopic pregnancy, preterm birth, placenta accreta. Unicornuate uterus represents the lowest incidence in müllerian anomalies (1/100,000 among the fertile female population). Non communicating variant is the most uncommon anomaly and when it is presented with a rudimentary horn, it is frequently on the right side. Due to the common embryological origin of the urological tract; a müllerian anomaly is frequently associated with kidney abnormalities. Case presentation: We report here the case of a 32 year old patient with diagnosis of primary infertility, 2 years evolution. During the protocol and study of the patient we found a müllerian anomaly IIB type with an atypical presentation (left rudimentary horn and absence of the left kidney), wich has a rare possibility of an espontaneous pregnancy even with the known medical and surgical treatment. Conclusions: Studying the müllerian anomaly of the female genital tract has become relevant, particularly in young women suff ering infertility. It is important to identify them before off ering any treatment. Also, it is essential to know the challenge they represent and to set how limited is the possibility to succeed facing the infertility problem with the known medical or surgical treatment, in order to properly off er assisted reproductive techniques or even to consider gestational surrogacy.

REFERENCES

1. Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril. 2009;91: 1886—94.

2. Rial, Maria, et al (26 de julio de 2011). Útero unicorne con cuerno rudimentario no comunicante en la adolescencia. ELSEVIER, Progresos de Ginecología y Obstetricia, 55, 146- 149.

3. Jáuregui Meléndrez, Rosa Alicia, et al. (2013). Estado actual de la clasifi cación, diagnóstico y tratamiento de las malformaciones müllerianas. Ginecología y Obstetricia de México, 81, 34-46.

4. Chakravarti S, Chin K. Rudimentary uterine horn: management of a diagnostic enigma. Acta Obstet Gynecol Scand. 2003; 82:1153—4.

5. Jenny del Rocío Chamorro-Oscullo,a Julián Antonio Sánchez- Cortázar,b María de Guadalupe Gómez-Péreza. (2018). Útero unicorne con cuerno rudimentario cavitado no comunicante: caracterización por resonancia magnética. Rev Med Inst Mex Seguro Soc., 56 (1), 92-7.

6. Samarina Kamal*, Priyankur Roy. (2017). A study of complications in case of unicornuate uterus with rudimentary horn. Int J Reprod Contracept Obstet Gynecol., 6 (6), :2607- 2610.

7. Zapardiel I, Alvarez P, Perez-Medina T, Bajo-Arenas JM. Laparoscopic management of a cavitated non-communicating rudimentary uterine horn of a uni-cornuate uterus: a case report. J Med Case Reports 2010;4:215

8. Cunningham, Leveno, Bloom, Spong, Dashe, Hoff man, Casey, Sheffi eld. (2014). Capítulo 3, anomalias congénitas genitourinarias. En Obstetricia Williams(36-42). Dallas, Texas: Mc Graw Hill.

9. Perrotin F, Bertrand J, Body G: Laparoscopic surgery of unicornuate uterus with rudimentary uterine horn. Hum Reprod. 1999, 14: 931-933. 10.1093/humrep/14.4.931.

10. Krishna Dahiya, Kriti Agarwal, Sahil Sanghi. (2017). Ruptured Noncommunicating Rudimentary Horn of Unicornuate Uterus at 12 Weeks. Medical Journal of Dr. D.Y. Patil University , 10, 381- 383.

11. Camila Silveira de Souza1 Gabriela Gindri Dorneles1 Giana Nunes Mendonça1 Caroline Mombaque dos Santos1 Francisco Maximiliano Pancich Gallarreta1 Cristine Kolling Konopka. (2017). Pregnancy in Non-Communicating Unicornuate Uterus: Diagnosis Diffi culty and Outcomes – a Case Report. Rev Bras Ginecol Obstet, 39, 146—149

12. Masaaki Sawada, Aiko Kakigano, Shinya Matsuzaki , Tsuyoshi Takiuchi, Kazuya Mimura, Keiichi Kumasawa, Masayuki Endo, Yutaka Ueda, Kiyoshi Yoshino and Tadashi Kimura. (2018). Obstetric outcome in patients with a unicornuate uterus aft er laparoscopic resection of a rudimentary horn. Japan Society of Obstetrics and Gynecology.