The Presentation and Early Diagnosis of the Rudimentary Uterine Horn

Abstract

Many functional noncommunicating horns present during or after the third decade of life with acute obstetric uterine rupture. Surgical removal before pregnancy is recommended. Rates of prerupture diagnosis remain disappointingly low.

Unruptured Pregnancy in Rudimentary Horn Presenting as Hemoperitoneum

“…Many cases of unicornuate uterus are missed on routine USG. The sensitivity of USG is only 26 %, and sensitivity decreases as the pregnancy advances [8].…”

“…Primary strategy of management of rudimentary horn is surgical removal [4]. Immediate surgery is recommended by most after the diagnosis even in unruptured cases [8]. Dicker et al [10] removed a small rudimentary horn through the suprapubic laparoscopic port.…”

“…However, in few selected cases where the patient is well informed and emergency surgery can be carried anytime, conservative management, until viability is achieved, has been advocated [4]. Renal anomalies are found in 36 % of cases [8]. Hence, these patients should be further evaluated.…”

Early diagnosis of rudimentary horn pregnancy and its excision by laparoscopy: Case Report

“…Although there are cases with early diagnosis, most of them are diagnosed after the rupture of the horn. The sensitivity of ultrasonography in the diagnosis is 26% (8) . Because there are not strict diagnostic criteria for this rare disease and the experience of the clinician is very important.…”

“…Typical hypervascularization of placenta accreata may support the diagnosis. The surgery is necessary after the diagnosis even the rupture has not occurred (8) .…”