Paper Information

Journal:   INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)   January 2019 , Volume 17 , Number 1; Page(s) 67 To 70.
 
Paper: 

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

 
DOI: 

10.18502/ijrm.v17i1.3822

 
Author(s):  HAFIZI LEILI, GHOMIAN NAYEREH*
 
* DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, FACULTY OF MEDICINE, MASHHAD UNIVERSITY OF MEDICAL SCIENCES, MASHHAD, IRAN, Postal Code: 9137913316
 
Abstract: 
Background: A unicornuate uterus is present in 0. 1% of the general population. This mü llerian 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.
 
Keyword(s): Twin pregnancy,Uterus,Mullerian ducts
 
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