scholarly journals Cervical Dysgenesis: A Rare Mullerian Duct Anomaly

Cureus ◽  
2021 ◽  
Author(s):  
Subha R Samantaray ◽  
Ipsita Mohapatra
Keyword(s):  
Mullerian Duct ◽  
Müllerian Duct ◽  
Müllerian Duct Anomaly

scholarly journals Unicornuate uterus with functional non communicating rudimentary horn: a refractory cause of dysmenorrhea

2020 ◽  
Vol 9 (2) ◽  
pp. 874
Author(s):  
Manju Agarwal ◽  
Rakhee Soni ◽  
Madhureema Verma
Keyword(s):  
Uterine Cavity ◽  
Signs And Symptoms ◽  
Uterine Horn ◽  
Mullerian Duct ◽  
Rare Type ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Müllerian Duct Anomaly

Mullerian duct anomalies are rare. Unicornuate uterus with a non-communicating rudimentary horn is a rare type of mullerian duct anomaly which occurs due to defective fusion of malformed duct with contralateral duct. The incidence is approximately 1:100000. Patient usually remain asymptomatic due to the absence of functional endometrium in most of the cases. If the rudimentary uterine horn has an endometrium lined uterine cavity and doesn’t communicate externally then the signs and symptoms of obstructed menstruation appears, as soon as menarche begins. It will be associated with severe dysmennorhoea and hematometra. Other complications may be abdominal lump, chronic pelvic pain, infertility, endometriosis, adenomyosis and ectopic pregnancy in rudimentary horn. Authors are presenting a case of refractory dysmenorrhea with lump abdomen in a patient with unicornuate uterus with functional non communicating horn. In a patient with refractory dysmenorrhea mullerian duct anomaly should be kept as differential diagnosis.

scholarly journals Müllerian duct anomalies with term pregnancy: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Engku Ismail Engku-Husna ◽  
Nik Lah Nik-Ahmad-Zuky ◽  
Kadir Muhammad-Nashriq
Keyword(s):  
Congenital Anomalies ◽  
Obstetric Complications ◽  
Mullerian Duct ◽  
Term Pregnancy ◽  
Müllerian Duct ◽  
Müllerian Duct Anomalies ◽  
Wide Range ◽  
Müllerian Duct Anomaly ◽  
History Of ◽  
Mullerian Duct Anomalies

Abstract Background Müllerian duct anomaly is a rare condition. Many cases remain unidentified, especially if asymptomatic. Thus, it is difficult to determine the actual incidence. Müllerian duct anomaly is associated with a wide range of gynecological and obstetric complications, namely infertility, endometriosis, urinary tract anomalies, and preterm delivery. Furthermore, congenital anomalies in pregnant mothers have a high risk of being genetically transmitted to their offspring. Case presentation We report a case of a patient with unsuspected müllerian duct anomaly in a term pregnancy. A 33-year-old Malay woman with previously uninvestigated involuntary primary infertility for 4 years presented with acute right pyelonephritis in labor at 38 weeks of gestation. She has had multiple congenital anomalies since birth and had undergone numerous surgeries during childhood. Her range of congenital defects included hydrocephalus, for which she was put on a ventriculoperitoneal shunt; imperforated anus; and tracheoesophageal fistula with a history of multiples surgeries. In addition, she had a shorter right lower limb length with limping gait. Her physical examination revealed a transverse scar at the right hypochondrium and multiple scars at the posterior thoracic region, levels T10–T12. Abdominal palpation revealed a term size uterus that was deviated to the left, with a singleton fetus in a nonengaged cephalic presentation. The cervical os was closed, but stricture bands were present on the vagina from the upper third until the fornices posteriorly. She also had multiple rectal prolapses and strictures over the rectum due to previous anorectoplasty. An emergency cesarean delivery was performed in view of the history of anorectoplasty, vaginal stricture, and infertility. Intraoperative findings showed a left unicornuate uterus with a communicating right rudimentary horn. Conclusion Most cases of müllerian duct anomaly remain undiagnosed due to the lack of clinical suspicion and the absence of pathognomonic clinical and radiological characteristics. Because it is associated with a wide range of gynecological and obstetric complications, it is vital for healthcare providers to be aware of its existence and the role of antenatal radiological investigations in its diagnosis. The presence of multiple congenital abnormalities and a history of infertility in a pregnant woman should warrant the exclusion of müllerian duct anomalies from the beginning. Early detection of müllerian duct anomalies can facilitate an appropriate delivery plan and improve the general obstetric outcome.

Laparoscopic metroplasty for bicornuate uterus – A case report

2021 ◽  
Vol 8 (2) ◽  
pp. 279-281
Author(s):  
Lakshmi Subburaj ◽  
K Rajkumar
Keyword(s):  
Case Report ◽  
First Trimester ◽  
Mullerian Duct ◽  
Spontaneous Abortions ◽  
Bicornuate Uterus ◽  
Müllerian Duct ◽  
Recurrent Spontaneous Abortions ◽  
Fertility Status ◽  
Müllerian Duct Anomalies ◽  
Müllerian Duct Anomaly

Bicornuate uterus is a type of mullerian duct anomaly which is responsible for recurrent spontaneous first trimester abortions. They are best managed surgically using Strassman’s metroplasty. We present a case of recurrent spontaneous abortions which was diagnosed as bicornuate uterus. We performed a laparoscopic metroplasty which was successful and did not encounter complications like adhesions or hemorrhage. The advantages of laparoscopic metroplasty outweighs the challenges in restoring fertility status to women with mullerian duct anomalies.

Differential diagnosis and management tactics in patients with a rare developmental Müllerian duct anomaly ACUM and a rudimentary uterine horn at early reproductive age

2021 ◽  
Vol 6_2021 ◽  
pp. 156-167
Author(s):  
Khashchenko E.P. Khashchenko ◽  
Allakhverdieva E.Z. Allakhverdieva ◽  
Arakelyan A.S. Arakelyan ◽  
Uvarova E.V. Uvarova E ◽  
Chuprynin V.D. Chuprynin ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Uterine Horn ◽  
Reproductive Age ◽  
Mullerian Duct ◽  
Müllerian Duct ◽  
Diagnosis And Management ◽  
Rudimentary Uterine Horn ◽  
Müllerian Duct Anomaly ◽  
Management Tactics
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