Review ArticleRudimentary Horn Pregnancy Diagnosed by Ultrasound and Treated by Laparoscopy–A Case Report and Review of the Literature
Section snippets
Case Report
A 37-year-old primigravida woman was referred to the emergency department for a bloody vaginal discharge and abdominal pain for the last 10 days. Last menstrual period was 11 weeks before admission. The current visit to the emergency department was the first time she was ever seen by a gynecologist. On examination, her abdomen was soft with light tenderness in the lower abdomen. A vaginal examination revealed a single cervix of normal appearance. A bimanual examination was not completed because
Discussion
Rudimentary horn pregnancy is a rare condition that, in approximately half of the cases, ends with uterine rupture, a life-threatening situation. Today, more and more women undergo a first trimester ultrasound, so that the diagnosis can be made before symptoms occur 4, 5, 6. When a rudimentary horn pregnancy is diagnosed, the recommendation is termination of pregnancy.
In addition to this case, 10 articles in the English-language literature described 11 cases of laparoscopic management of a
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2017, Middle East Fertility Society JournalCitation Excerpt :In our case, there was nearly a 2000 ml of free blood collection suctioned from the peritoneal cavity on abdominal exploration. Kadan and Romano reported that rupture of rudimentary horn pregnancy is the most significant danger to pregnancy and a life-threatening situation [9]. Due to its rarity and difficulty in diagnosis, Tsafrir et al., 2005 published certain ultrasonographic criteria required for diagnosing rudimentary horn pregnancy before its rupture [10].
Subsequent pregnancy after a ruptured rudimentary uterine horn pregnancy
2013, European Journal of Obstetrics and Gynecology and Reproductive BiologySuccessful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review
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