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December 04-05, 2019 | Dubai, UAE
Annual Congress on
Midwifery and Gynaecology 2019
December 04-05, 2019
Midwifery nursing and Gynaecology
J Nurs Res Pract, Volume 3 |
ISSN: 2632-251X
Volume 3
Journal of Nursing Research and Practice
Unicornuate uterus with rudimentary non-communicating cavitary horn in association
VACTERL syndrome: Case report
Abdelwahab Aleshawi
Jordan University of Science and Technology, Jordan
T
he unicornuate uterus is caused by abnormal or failed development of one Müllerian duct. Unicornuate
uteri with functioning non-communicating rudimentary horns are susceptible to many gynecologic
and obstetric complications such as hematometra, endometriosis and ectopic pregnancy and thus surgical
resection is usually advised. We have encountered a rare case of a unicornuate right uterus with rudimentary
non-communicating (functional) cavitary left horn (class U4a) in a 17-year-old girl who was diagnosed
with VACTERL association. She was presented to our pediatric surgery and gynecology departments with
three years history of secondary sever dysmenorrhea. Pelvic magnetic resonance imaging revealed a normal
uterus on the right side, a 7×8 cm left endometrioma, a tortuous dilated fluid-filled structure in the left
hemipelvis, mostly represented left-sided hematosalpinx, and a well-defined lesion with thick enhancing
wall in the left hemipelvis measuring 6.7×5.7×5.6 cm with similar enhancement to the uterus in the right.
She underwent laparotomy that showed a right unicornuate uterus with a normal cervix and a rudimentary
non-communicating distended left horn. In addition, there was a left endometrioma and left hematosalpinx.
Resection of the left communicating horn, left salpingectomy and left ovarian cystectomy were performed.
The right tube and both ovaries were preserved. At 9-months follow up, the patient had regular period and the
pain subsided completely. This is the second case of VACTERL association and unicornuate uterus with non-
communicating functional rudimentary horn, in hope of expanding the knowledge of a rare occurrence. This
case also highlights the importance of considering the diagnosis of Müllerian duct anomalies in patients with
a history of other anomalies, and/or history of early-age secondary dysmenorrhea. In addition, it is preferable
to explore for any associated congenital anomalies when performing any surgery for syndromic children.
Biography
Abdelwahab Aleshawi is a 24-year-old organized graduated medical intern with an-excellent educational record, research skills and
passion for health and wellbeing. He was graduated from Jordan University of Science and Technology (JUST). Now, he is an intern in
King Abdulla University Hospital that is affiliated to JUST. He participated in many conferences and workshops that focus on gynecology
and oncology. He has many ongoing researches and projects in the gynecology and oncology field. He looks forward a residency
program in obstetrics and gynecology and to be pioneer, researcher and consultant in this field. He has 19 publisher articles.
abdelwahhabjamal@yahoo.comPelvic magnetic resonance imaging: T2 signal MRI indicated the presence of left
hematometra with small right uterus. Both ovaries were demonstrated.