Mehmet Sıddık EVSEN, Hakan AYTAN, Leyla MOLLAMAHMUTOĞLU, Sema ZERGEROĞLU, Ömer Lütfi TAPISIZ, Bekir SERDAR ÜNLÜ

Unembriyonic Pregnancy in a Noncommunicating Rudimentary Horn of a Unicornuate Uterus: A Case Report

Çalışmamızda kontrolateral overde korpus luteum taşıyan, unikornuat uterusun non-communicating rudimenter hornunda oluşan unembriyonik gebelik sunulmuştur. Yirmi dört yaşında, daha önce gebelik geçirmemiş hasta üç yıllık primer infertilite şikayeti ile polikliniğimize başvurdu. Histerosalpingografik ve laparaskopik değerlendirilmesi müllerian bir anomaliyi; non-communicating rudimenter hornu gösterdi. Bir yıl sonrası, hasta 10 haftalık adet gecikmesi ile başvurdu. Sol uterin rudimenter horn da unebmryonik gebelik ve karşı tarafta olan over de ise korpus luteum görüldü. Bu sunulan vaka, sperm ve ovumun her ikisinin de transperitoneal migrasyonun delilidir, non-communicating rudimenter hornlu unikornuat uterusun herhangi bir sorun olmaksızın asemptomatik gideceği inanışı doğru değildir. Bu gibi vakalarda rudimenter horn çıkarılmalıdır.

Unikornuat Uterusun Non-Communicating Rudimenter Hornunda Boş Gebelik: Vaka Takdimi

This is a case report of an unembriyonic pregnancy in the non-communicating rudimentary horn of a unicornuate uterus with the contralateral ovary carrying a corpus luteum. A 24-year-old nullipara was admitted to our outpatient clinic with the complaint of primary infertility for 3 years. Her hysterosalpingographic and laparoscopic evaluation revealed a mullerian anomaly; non-communicating rudimentary uterine horn. One year later, the patient was admitted with a 10-week amenorrhea. The examination showed unembriyonic pregnancy in the left uterine rudimentary horn and corpus luteum on the contralateral ovary. The case at hand is an evidence of transperitoneal migration of both the sperm and the ovum, so the belief that unicornuate uterus with a non-communicating rudimentary horn goes asymptomatic without causing any trouble is not true. In such cases, the rudimentary horn should be removed.

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