Rudimentary Horn Pregnancy Diagnosed by Ultrasound and Treated by Laparoscopy–A Case Report and Review of the Literature

Kadan, Yfat; Romano, Shabtai

doi:10.1016/j.jmig.2008.05.010

Cited by 37 publications

(34 citation statements)

References 8 publications

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“…The maternal mortality rate associated with rudimentary horn pregnancies has improved from 18% in the 19 th century to 0.5% in the rudimentary horn in an early pregnancy. 10 Surgical intervention and excision of the rudimentary horn should be considered if the diagnosis is confirmed, as the rupture of the horn results in serious maternal morbidity or even mortality. 1 …”

Section: Discussionmentioning

confidence: 99%

Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

Pillai

Mathew

Ishrat

et al. 2015

Sultan Qaboos Univ Med J

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Pregnancy in a rudimentary horn is very rare. The rupture of the horn during pregnancy is an obstetric emergency which can be life-threatening for both the mother and fetus. Preoperative diagnosis of such pregnancies can be challenging and they are usually diagnosed intraoperatively. We report a unique case of a 31-year-old multiparous woman who presented to the Sultan Qaboos University Hospital in Muscat, Oman, in January 2013 at 32 gestational weeks with abdominal pain. Ultrasonography was inconclusive. A rudimentary horn pregnancy was subsequently diagnosed via magnetic resonance imaging (MRI). An emergency laparotomy revealed haemoperitoneum and a ruptured rudimentary horn pregnancy. A live baby with an Apgar score of 2 at one minute and 7 at five minutes was delivered. The rudimentary horn with the placenta in situ was excised and a left salpingooophorectomy was performed. The postoperative period was uneventful. The authors recommend MRI as an excellent diagnostic modality to confirm rudimentary horn pregnancies and to expedite appropriate management.

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Section: Discussionmentioning

confidence: 99%

Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

Pillai

Mathew

Ishrat

et al. 2015

Sultan Qaboos Univ Med J

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“…7 Kadan and Romano described rudimentary horn rupture as the most significant threat to pregnancy and a lifethreatening situation. 8 Early diagnosis of the condition is essential and can be challenging.…”

Section: Gaur Y Et Al Int J Reprod Contracept Obstet Gynecol 2017 Smentioning

confidence: 99%

Rudimentary horn pregnancies: dilemmas in diagnosis

Gaur

Goswami

Meravi

2017

Int J Reprod Contracept Obstet Gynecol

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Rudimentary horn pregnancy is a rare obstetric entity and the diagnosis and management may pose some problems especially in a low-resource center. We report a case of G1P0 with pregnancy of 28 weeks gestation with diagnosed intrauterine fetal death, which was suspected as extra uterine pregnancy bases on failed attempts of termination of pregnancy and on laparotomy, a dead fetus of 16 weeks was found in left unruptured noncommunicating horn of unicornuate uterus. Diagnosis of rudimentary horn pregnancy is difficult and can be missed in ultrasound. It requires a high index of suspicion.

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“…Rudimentary horns are found in 74% of unicornuate uteri and 70–90% are non-communicating horns 1. The overall incidence of a unicornuate uterus with a rudimentary horn is 1:5400 1.…”

Section: Introductionmentioning

confidence: 99%

“…Rudimentary horns are found in 74% of unicornuate uteri and 70–90% are non-communicating horns 1. The overall incidence of a unicornuate uterus with a rudimentary horn is 1:5400 1. A pregnancy in a rudimentary horn of the uterus is a rare condition which is assumed to occur through intraperitoneal migration of either sperm (ipsilateral ovulation) or a fertilised ovum (contralateral ovulation).…”

Section: Introductionmentioning

confidence: 99%

The value of hysteroscopy in the diagnostic approach to a rudimentary horn pregnancy

Esch

Lashley²,

Berning³

et al. 2010

Case Reports

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A 33-year-old woman presented with an ectopic pregnancy without any complaints. Laparoscopy was performed since a tubal pregnancy was expected. However, both fallopian tubes appeared normal and it was not possible to differentiate accurately between a pregnancy in a noncommunicating horn and a pregnancy in a bicornuate uterus. We therefore performed MRI which showed a thin myometrium around the pregnancy. In order to differentiate between a communicating and a non-communicating uterine horn the authors performed a hysteroscopy. Since there was only one cervical os, and an entrance to the second uterine cavity was not seen along the cervical canal, it was concluded that this pregnancy was situated in a non-communicating rudimentary horn. The non-communicating uterine horn, with the pregnancy in situ, was completely removed. Since a pregnancy in a bicornuate uterus is viable in contrast to a pregnancy in a non-communicating horn, accurate diagnosis is important. BACKGROUND

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Rudimentary Horn Pregnancy Diagnosed by Ultrasound and Treated by Laparoscopy–A Case Report and Review of the Literature

Cited by 37 publications

References 8 publications

Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

Rudimentary horn pregnancies: dilemmas in diagnosis

The value of hysteroscopy in the diagnostic approach to a rudimentary horn pregnancy

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