Özlem DURAL, Cenk YAŞA, Funda GÜNGÖR UĞURLUCAN, Ercan BAŞTU, Samet TOPUZ

Adolesanda akut batın tablosunu taklit eden non-komunikan rudimenter horn ile birlikte uterus unikornis

Rudimenter horn ile birlikte uterus unikornis en nadir karşılaşılan mülleryan anomalidir ve birçok obstetrik ve jinekolojik komplikasyona ve anormal kanama, dismenore ve ağrı gibi semptomlara neden olabilmektedir. Biz, akut batın tablosu nedeni ile yapılan acil laparotomi sırasında non-kominikan rudimenter horn ile birlikte uterus unikornis tanısı konulan ve definitif tedavisi ikinci bir seansta uygulanan 17 yaşındaki bir adolesan hastayı sunmayı amaçladık.

Unicornuate uterus with non-communicating rudimentary horn mimicking acute abdomen in an adolescent

Unicornuate uterus with a rudimentary horn is the rarest anomaly of the Müllerian system, causing many gynecologic and obstetrical complications and symptoms such as abnormal bleeding, severe dysmenorrhea, and pain. We aimed to report a case of a 17-year-old adolescent presenting with acute abdomen and diagnosed with non-communicating functional rudimentary horn during emergency minilaparotomy and treated afterwards.

PDF

___

1. Breech LL, Laufer MR. Mullerian anomalies. Obstet Gynecol Clin N Am 2009;36(1):47-68.
2. Atmaca R, Germen AT, Burak F, Kafkasli A. Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus. JSLS 2005;9(2):235-7.
3. Kuscu NK, Lacin S, Kartal O. Rupture of rudimentary horn pregnancy at the 15th week of gestation: A case report. Eur J Obstet Gynecol Reprod Biol 2002;102(2):209-10.
4. Junqueira B, Allen L, Spitzer R, et al. Müllerian duct anomalies and mimics in children and adolescents: Correlative intraoperative assessment with clinical imaging. Radiographics 2009;29(4):1085-103.
5. Grimbizis GF, Gordts S, Sardo ADS, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod 2013;28(8):2032-44.
6. Matalliotakis IM, Koumantakis G, Koumantakis EE. Pulmonary endometriosis in a patient with unicornuate uterus and noncommunicating rudimentary horn. Fertil Steril 2002;78(1):183-5.
7. Graziani M, Carnevale E, Cacchione O, Fassanelli S. Hematometra in urogenital malformation: A rare cause of postmenarchal acute abdomen. Radiol Med 1995;89(1-2):168-71.
8. Kinjo K, Kasai T, Ogawa K. Hematometra and ruptured hematosalpinx with ipsilateral renal agenesis presenting as diffuse peritonitis. Intensive Care Med 1997;23(3):354.
9. Jayasingue Y, Rane A, Harry S, et al. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynecol 2005;105(6):1456-67.
10. Letterie GS, Haggerty M, Lindee G. A comparison of pelvic ultrasound and magnetic resonance imaging as diagnostic studies for mullerian tract abnormalities. Int J Fertil Menopausal Stud 1995;40(1):34-8.