ABSTRACT
Objective: To describe the 6 clinical cases of unicornuate uterus managed at a tertiary hospital. Design: Case series from 2000-August 2004. Setting: University Hospital Main Outcome Measured: Presence of renal anomalies, fertility, outcome of pregnancies, concomitant endometriosis. Results: Unicornuate uterus with a right functioning non-communicating horn was the most common anomaly. Renal agenesis was observed in 67 percent. Four women produced 9 pregnancies. Sixty seven percent of pregnancies resulted in live births. There were 2 pre-term pregnancies and four term pregnancies. There was 33 percent incidence of ectopic pregnancy, 2 of which were in the rudimentary horn. The individual risk for having a rudimentary horn pregnancy is as high as 50 percent. The incidence of endometriosis with hematometra of the rudimentary horn was 33 percent. A hemihysterectomy was done for 4 patients with either hematometra or rudimentary horn pregnancies. Conclusions: Unicornuate uterus has unimpaired reproductive potential. The anomaly was usually discovered due to complication in the rudimentary horn.
