A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture

Amer, Wagdy M; Altraigey, Ahmed

doi:10.5603/gp.2020.0089

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Finally, 72 reports were selected for our analysis. [ 7 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 ] Most of the articles were case reports, and we found 103 cases published from January 2000 to November 2020. Two reviewers (W.I.…”

Section: Ethodsmentioning

confidence: 99%

“…[ 5 10 ] To treat these cases, emergency laparotomy is performed. Apart from detecting hypovolemic shock,[ 11 12 13 14 15 16 17 ] patients frequently have abdominal pain,[ 7 11 13 14 15 16 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 ] but some reports have indicated that only 8% of rudimentary horn pregnancies (RHPs) are diagnosed before the symptoms appear. [ 44 ] Sufficient knowledge seems necessary to detect NCRHP during early obstetric screening.…”

Section: Introductionmentioning

confidence: 99%

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Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery

Isono

Tsuchiya

Honda

et al. 2022

Gynecology and Minimally Invasive Therapy

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Pregnancy in a noncommunicating rudimentary horn is extremely rare but can cause serious clinical complications, such as uterine rupture. The standard treatment is excision of the rudimentary horn, and recently, in some cases, laparoscopic resection has been performed in the first trimester of gestation. Herein, we present a case of noncommunicating rudimentary horn pregnancy (NCRHP), which was diagnosed by magnetic resonance imaging at 6 weeks of gestation and treated by laparoscopic surgery. However, we have also found some rare cases in which patients could obtain live newborn babies. Since management is affected by the different levels of obstetric medical care and diagnostic tools, we also performed a review and analysis of NCRHP. A PubMed search yielded 103 cases reported in the English literature. Correct diagnosis and laparoscopic treatment were achieved more frequently in developed countries, especially in the first trimester of gestation. On the other hand, symptoms, including abdominal pain and hypovolemic shock, tended to occur in the second trimester of gestation. This period was also found to be a risk factor for uterine rupture. Among 18 patients at the third trimester of gestation, 13 obtained live neonatal infants. Therefore, detailed information about this disease is crucial for proper treatments.

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Section: Ethodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery

Isono

Tsuchiya

Honda

et al. 2022

Gynecology and Minimally Invasive Therapy

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Rare forms of ectopic pregnancy in the rudimentary horn and ovary. How not to miss the main thing?

Ginzburg,

Ginzburg

2024

V.F.Snegirev Archives of Obstetrics and Gynecology

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This article presents two cases of ectopic pregnancy in the ovary and rudimentary horn, which had a life-threatening course. Despite availability of modern high-quality diagnostics, determining the condition remains challenging, because the definitive diagnosis is established and confirmed only intraoperatively. Hence, the clinical picture can be used primarily in making a diagnosis and choosing an appropriate treatment strategy. Rare localizations, such as in the ovary and rudimentary horn, which cause difficulties in making a diagnosis, should not be overlooked. If an ectopic pregnancy is not detected promptly and the risks are underestimated, death may occur. Two clinical cases clearly demonstrate timely diagnosis, regardless of additional examination methods (e.g., pelvic ultrasound, human chorionic gonadotropin test), and adequate choice of access and scope of surgical intervention. Moreover, the lack of awareness among women about this type of pathology should be considered. Patients often do not complain, do not remember the date of their last menstruation, do not monitor their menstrual cycle, and do not seek medical help in a timely manner. The combination of several factors can lead to fatal events. In this study, both cases of ectopic pregnancy with a rare localization ended favorably.

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A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture

Cited by 2 publications

References 3 publications

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery

Rare forms of ectopic pregnancy in the rudimentary horn and ovary. How not to miss the main thing?

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