Hysterectomy to the Unicornuate Uterus Suffering of Hematometra

Histerektomi pada Unicornuate Uterus dengan Hematometra

Abstract

Objective: Unicornuate uterus with rudimentary cavity is an
extremely rare Mullerian duct anomaly. It is frequently misdiagnosed
or under treated, since women who suffer from this
condition tend to be asymptomatic. We aimed to report this
interesting case and review the available background literature.
Methods: Case report.
Case: A thirty two-year-old nulligravid woman was presented
with severe abdominal pain. Laparoscopic surgery demonstrated
unicornuate uterus with arudimentary cavity and hematometra.
Partial hysterectomy was conducted to the right rudimentary
uterus.
Conclusion: Thorough diagnosis is essential to prevent the
complications of unicornuate uterus. Unicornuate uterus with
rudimentary cavity is associated with increased rate of pregnancy
complications such as preterm labor and fetal malpresentation.
Pregnancy can also occurred on the rudimentary cavity and leads
to recurrent pregnancy loss. Laparoscopy is essential for confirmatory
diagnosis. Surgical intervention should be considered as
the first line therapy to avoid associated morbidity.
[Indones J Obstet Gynecol 2017; 5-4: 246-249]
Keywords: hematometra, hysterectomy, unicornuate uterus