Ultrasound Features of Rudimentary Horn Ectopic Pregnancies

Thurber, Brian W.; Fleischer, Arthur C.

doi:10.1002/jum.14847

Cited by 9 publications

(15 citation statements)

References 8 publications

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“…In a vast majority (83%) of the patients, the rudimentary horn is non-communicating [9]. In the present study, 13 patients (92.8%) had a non-communicating rudimentary horn.…”

Section: Discussionsupporting

confidence: 41%

Rudimentary horn pregnancy — ten years of experience

et al. 2020

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Objectives:This study aimed to evaluate data on early diagnosis and therapeutic management of rudimentary horn pregnancy (RHP). Material and methods:Patients diagnosed with RHP at a tertiary center between for two periods of 2008-2012 and 2013-2018 were analysed retrospectively. We obtained information of patients from hospital electronic archive registration system. Data on demographic characteristics, clinical presentation, gestational age at presentation, presenting symptoms, diagnostic methods, and therapeutic management were noted and analysed by descriptive statistical method. Demographic datas, the complaint of patient's admission to hospital, history of cesarean section, preliminary diagnosis and intraoperative diagnosis were compared between periods of 2008-2012 and 2013-2018.Results: A total of 14 RHP patients were included. Eight (57.1%) of these patients were diagnosed between 2008-2012 (Group 1), whereas six patients (42.9%) were diagnosed between 2013-2018 (Group 2). Rudimentary horn was non-communicating in 13 patients (92.8%). Communicated form was observed in 1 patient in group 1. RHP was diagnosed on the left side in nine patients (64.2%). Six of these patients were observed in group 1 and 3 were in group 2. The pre-rupture diagnosis was made in 10 (71.4%) patients. Six (100%) of 10 patients were in group 2. In addition, in group 1, four patients (50%) experienced intraoperative RHP rupture. RHP was diagnosed before rupture in 2 (33.3%) patients in group 2. Conclusions:It is an indication of advanced ultrasonographic technology as well as increased carefulness on the physician side and raised alertness on the patient side that today both RHP and preoperative rupture of RHP are less frequent. Still, further awareness is required among physicians of the necessity of excision of a rudimentary horn that is detected at the time of C-section.

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“…In a vast majority (83%) of the patients, the rudimentary horn is non-communicating [9]. In the present study, 13 patients (92.8%) had a non-communicating rudimentary horn.…”

Section: Discussionsupporting

confidence: 41%

Rudimentary horn pregnancy — ten years of experience

et al. 2020

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“…It can be done when expert ultrasound imaging is not present. 3 Tsafrir suggested a criteria to diagnose early pregnancy in the rudimentary horn via ultrasound: pseudopattern of assymetrical bicornuate uterus, absent visual continuity between cervical canal and lumen of pregnant horn and presence of myometrial tissue around the gestational sac, hypervascularisation typical of placenta accrete. 12 Similar criteria were proposed by Marvelos and it requires identification of empty uterus with single interstitial portion of fallopian tube, a gestational sac surrounded by myometrial tissue separate from uterus, and a vascular pedicle connecting the unicornuate uterus to the G-sac.…”

Section: Discussionmentioning

confidence: 99%

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

Dhanawat

Pape

Stuhlmann-Laeisz

et al. 2021

Clinical Case Reports

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“…7 from the uterus is not apparent on grayscale imaging. 10,11 Rudimentary horn ectopic pregnancies may be sonographically Other studies have pointed to magnetic resonance imaging (MRI) as a useful adjunct in making the diagnosis, especially in the absence of experienced ultrasound practitioners. 3 MRI is an effective diagnostic tool but is more expensive and may not be readily available in low-resource settings.…”

Section: Discussionmentioning

confidence: 99%

“…A fibrous band of variable thickness and length may form the attachment in other cases. Color Doppler examination is essential in these cases, in order to identify the vascular pedicle connecting the gestational sac to the uterus when the origin of the gestational sac from the uterus is not apparent on grayscale imaging 10,11 …”

Section: Discussionmentioning

confidence: 99%

Avoiding the fatal misdiagnosis of pregnancy in a noncommunicating rudimentary horn using 3D transvaginal ultrasound

Walker

Collins

Pham

et al. 2020

J of Clinical Ultrasound

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Rudimentary horn pregnancies are an increasingly recognized complication of Mullerian duct anomalies. They can lead to uterine rupture with severe maternal morbidity and mortality. We present the case of a 28-year-old woman with a prior surgical diagnosis of bicornuate uterus who was diagnosed with a 7-week pregnancy in the left horn of a bicornuate uterus by 2D ultrasound. Further investigation with 3D ultrasound revealed that the pregnancy was within a noncommunicating rudimentary horn of a unicornuate uterus. These findings were confirmed at laparotomy. This case illustrates the importance and benefits of utilizing 3D ultrasound in diagnosing suspected Mullerian anomalies.

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Ultrasound Features of Rudimentary Horn Ectopic Pregnancies

Cited by 9 publications

References 8 publications

Rudimentary horn pregnancy — ten years of experience

Rudimentary horn pregnancy — ten years of experience

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

Avoiding the fatal misdiagnosis of pregnancy in a noncommunicating rudimentary horn using 3D transvaginal ultrasound

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