Open AccessEmbarazo a término en útero bicorne con cuerno rudimentario no comunicante. Reporte de un caso
Author(s) -
Martha Rondón-Tapía,
AUTHOR_ID,
Eduardo ReynaVillasmil,
Duly Torres-Cepeda
Publication year - 2021
Publication title -
revista de obstetricia y ginecología de venezuela
Language(s) - English
Resource type - Journals
ISSN - 0048-7732
DOI - 10.51288/00810414
Subject(s) - bicornuate uterus , medicine , laparotomy , uterus , obstetrics , pregnancy , gynecology , unicornuate uterus , placenta previa , abdominal pain , uterine horns , fetus , surgery , placenta , biology , genetics
The bicorne uterus with a rudimentary non-communicating horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract abnormalities, abortions, and preterm deliveries. Excision of the rudimentary horn should be done outside of pregnancy, with followup during pregnancy, looking for complications. We present the case of a 40-year-old patient, who presented abdominal pain and vaginal bleeding, with a full-term pregnancy in a rudimentary non-communicating horn of a bicorne uterus. Physical examination showed abdominal distention and loss of uterine contour and no fetal parts were palpated. The provisional diagnosis of rupture of the uterus was made. Emergency laparotomy revealed a dead and deformed fetus, 37 weeks old, in a bicorne uterus with a broken rudimentary non-communicating horn, along with an acretic placenta. Extraction of the gestational sac, fetus and placenta and subtotal hysterectomy with conservation of the left annex were performed. Keywords: Rudimentary horn not communicating, Bicornuate uterus, Term pregnancy