Abstract
A rudimentary horn of the uterus is caused by a defective fusion of the paramesonephric ducts. One paramesonephric duct usually develops normally, while the contralateral one can develop into various degrees of rudimentary horns [3]. The incidence is about 0.1 % {1}. Patients usually consult doctors because of infertility, recurrent miscarriage, or chronic pelvic pain [2]. The incidences of rudimentary horn in patients with a medical history of miscarriage, infertility, and recurrent miscarriage are 0.5, 0.5, and 3.1 % [1].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Rudimentary Horn
Chan YY, et al. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761–71.
Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril. 2009;91(5):1886–94.
Khati NJ, Frazier AA, Brindle KA. The unicornuate uterus and its variants: clinical presentation, imaging findings, and associated complications. J Ultrasound Med. 2012;31(2):319–31.
Grimbizis GF, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28(8):2032–44.
Bermejo C, et al. Three-dimensional ultrasound in the diagnosis of Mullerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2010;35(5):593–601.
Trad M, Palmer S. Mullerian duct anomalies and a case study of unicornuate uterus. Radiol Technol. 2013;84(6):571–6.
Grimbizis GF, Campo R. Clinical approach for the classification of congenital uterine malformations. Gynecol Surg. 2012;9(2):119–29.
Melissa Blyth AG, Penketh R. Torsion of a rudimentary horn pregnancy – an unusual case presentation. Gynecol Surg. 2013;10(1):91–2.
Mavrelos D, et al. Ultrasound diagnosis of ectopic pregnancy in the non-communicating horn of a unicornuate uterus (cornual pregnancy). Ultrasound Obstet Gynecol. 2007;30(5):765–70.
Siwatch S, et al. Rudimentary horn pregnancy: a 10-year experience and review of literature. Arch Gynecol Obstet. 2013;287(4):687–95.
Shahid A, et al. Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review. Arch Gynecol Obstet. 2010;282(2):121–5.
Medeiros LR, et al. Laparoscopic approach of a unicornuate uterus with noncommunicating rudimentary horns. ISRN Obstet Gynecol. 2011;2011:906138.
Fedele L, et al. Laparoscopic removal of the cavitated noncommunicating rudimentary uterine horn: surgical aspects in 10 cases. Fertil Steril. 2005;83(2):432–6.
Vallerie AM, Breech LL. Update in Mullerian anomalies: diagnosis, management, and outcomes. Curr Opin Obstet Gynecol. 2010;22(5):381–7.
Spitzer RF, Kives S, Allen LM. Case series of laparoscopically resected noncommunicating functional uterine horns. J Pediatr Adolesc Gynecol. 2009;22(1):e23–8.
Letterie GS. Management of congenital uterine abnormalities. Reprod Biomed Online. 2011;23(1):40–52.
T-shaped Uterus
Herbst AL, Ulfelder H, Poskanzer DC. Adenocarcinoma of the vagina. Association of maternal stilbestrol therapy with tumor appearance in young women. N Engl J Med. 1971;284(15):878–81.
Goldberg JM, Falcone T. Effect of diethylstilbestrol on reproductive function. Fertil Steril. 1999;72(1):1–7.
Fernandez H, et al. Surgical approach to and reproductive outcome after surgical correction of a T-shaped uterus. Hum Reprod. 2011;26(7):1730–4.
Buttram Jr VC, Gibbons WE. Mullerian anomalies: a proposed classification. (An analysis of 144 cases). Fertil Steril. 1979;32(1):40–6.
The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49(6):944–55.
Grimbizis GF, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28(8):2032–44.
Kaufman RH, et al. Continued follow-up of pregnancy outcomes in diethylstilbestrol-exposed offspring. Obstet Gynecol. 2000;96(4):483–9.
Kipersztok S, et al. Comparison of magnetic resonance imaging and transvaginal ultrasonography with hysterosalpingography in the evaluation of women exposed to diethylstilbestrol. J Reprod Med. 1996;41(5):347–51.
Grimbizis GF, Campo R. Clinical approach for the classification of congenital uterine malformations. Gynecol Surg. 2012;9(2):119–29.
Levine RU, Berkowitz KM. Conservative management and pregnancy outcome in diethylstilbestrol-exposed women with and without gross genital tract abnormalities. Am J Obstet Gynecol. 1993;169(5):1125–9.
Giacomucci E, et al. Term delivery rate after hysteroscopic metroplasty in patients with recurrent spontaneous abortion and T-shaped, arcuate and septate uterus. Gynecol Obstet Invest. 2011;71(3):183–8.
Garbin O, et al. Hysteroscopic metroplasty in diethylstilboestrol-exposed and hypoplastic uterus: a report on 24 cases. Hum Reprod. 1998;13(10):2751–5.
Katz Z, et al. Beneficial effect of hysteroscopic metroplasty on the reproductive outcome in a ‘T-shaped’ uterus. Gynecol Obstet Invest. 1996;41(1):41–3.
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Wang, S., Xu, F., Feng, L., Xiang, X. (2015). Abnormal Uterine Development. In: Zhu, L., Wong, F., Lang, J. (eds) Atlas of Surgical Correction of Female Genital Malformation. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7246-4_5
Download citation
DOI: https://doi.org/10.1007/978-94-017-7246-4_5
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-017-7245-7
Online ISBN: 978-94-017-7246-4
eBook Packages: MedicineMedicine (R0)