Ruptured Rudimentary Horn Pregnancy: A Diagnostic Dilemma and Management

Sagili, Haritha; Rani, P. Reddi; Pramya, N.

doi:10.1089/gyn.2010.0108

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The usual outcome of an undiagnosed rudimentary horn pregnancy is a rupture in the second trimester in about 50% to 90% of cases. 6,11 Early diagnosis of this rare form of pregnancy before rupture is essential for successful management to prevent maternal morbidity and mortality. 12 Scarce information exists regarding methotrexate treatment in rudimentary uterine horn pregnancy before surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Failed Systemic Methotrexate Treatment in a Rudimentary Horn Pregnancy

Wolf¹,

Rosenzweig²,

Braun³

et al. 2014

CRSLS

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We report the case of a patient with unicornuate uterus and an intrarudimentary horn first-trimester ectopic pregnancy. This rare pregnancy was diagnosed by laparoscopy and did not respond to systemic methotrexate treatment. The clinical presenting symptoms and signs were similar to those of an extrauterine pregnancy. Following the failure of methotrexate treatment, a second operative laparoscopy was performed, and definitive treatment was obtained by resection of the rudimentary horn containing the pregnancy. Debates about and rationale for the elected treatment are described.

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Section: Discussionmentioning

confidence: 99%

Failed Systemic Methotrexate Treatment in a Rudimentary Horn Pregnancy

Wolf¹,

Rosenzweig²,

Braun³

et al. 2014

CRSLS

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“…15 The rudimentary horn should be excised, whenever the condition is diagnosed, to prevent a rupture in the pregnancy. 16 However, immediate surgery is recommended by most experts, and once the prerupture diagnosis of rudimentary horn pregnancy has been made, ideal management includes surgical resection of the horn along with the Fallopian tube on that side [17][18][19] as was performed in the current case.…”

Section: Prerupture Diagnosis Of Rudimentary Horn Pregnancymentioning

confidence: 96%

Prerupture Sonographic Diagnosis and Management of Rudimentary Horn Pregnancy: A Rare Presentation

Bishnoi

Sirohiwal

Nanda

et al. 2013

Journal of Gynecologic Surgery

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Background: Rudimentary horn pregnancy is a rare form of ectopic pregnancy, and rupture of the pregnant rudimentary horn in the second trimester is the usual presentation. Most cases are diagnosed at laparotomy for hemorrhagic shock, with increased maternal morbidity and, at times, mortality. Although the diagnosis prior to rupture is difficult, early detection is essential for timely management. Among various investigative methods, such as ultrasound scanning, computed tomography scanning, magnetic resonance imaging, and laparoscopy, ultrasonography plays an important role in early diagnosis of this condition and in planning management. Case: A 23-year-old woman, gravida two, para one, A0, in the fifth month of her pregnancy was referred by a private practitioner after routine ultrasonography revealed a live extrauterine pregnancy. Her general condition was good. A repeat ultrasound at the Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India, showed a rudimentary-horn pregnancy of 15 weeks gestation and a normal uterus on her right side. Laparotomy, followed by excision of the rudimentary horn was performed. Results: The patient's postoperative period was uneventful. Conclusions: Although diagnosis prior to rupture is difficult, early detection of rudimentary-horn pregnancy is essential to avoid a fatal outcome. One should suspect this rare entity if a patient is complaining of lower abdominal pain in early pregnancy. Early ultrasonography in such cases should be performed, because it plays an important role in diagnosing rudimentary-horn pregnancy especially in the prerupture state, as was seen in this case. our case. ( J GYNECOL SURG 29:140)

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Ruptured Rudimentary Horn Pregnancy: A Diagnostic Dilemma and Management

Cited by 2 publications

References 9 publications

Failed Systemic Methotrexate Treatment in a Rudimentary Horn Pregnancy

Failed Systemic Methotrexate Treatment in a Rudimentary Horn Pregnancy

Prerupture Sonographic Diagnosis and Management of Rudimentary Horn Pregnancy: A Rare Presentation

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