A Rare Case of Heterotopic Pregnancy with Ruptured Left Rudimentary Horn Pregnancy

Rathod, Setu; Samal, Sunita

doi:10.7860/jcdr/2015/10677.5639

Cited by 4 publications

(3 citation statements)

References 7 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%

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review

Isono

Tsuchiya

Honda

et al. 2022

Gynecol Minim Invasive Ther

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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%

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review

Isono

Tsuchiya

Honda

et al. 2022

Gynecol Minim Invasive Ther

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show abstract

“…In a compromised patient, there may be pallor, tachycardia, tachyponea, hypotension/hypovolemia, abdominal tenderness/distension and guarding 1,[10][11][12] and the patient may collapse and die especially with a ruptured heterotopic pregnancy. This is a dire gynaecological emergency.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…At surgery findings vary from un-ruptured tubal ectopic implantations to various degrees of haemoperitoneum 10 depending on the length of bleeding after the rupture [10][11][12] of the heterotopic pregnancy. At times, bleeding is found to be coming from the fimbrial end with a tubal pregnancy still intact.…”

Section: Managementmentioning

confidence: 99%

Heterotopic Pregnancy

Ngwenya¹

2015

Gynecol Obstet Res Open J

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Page 89 KEY CONTENT• Heterotopic pregnancy is a rare but life-threatening condition • Very few clinicians will come across this very serious gynaecological condition during their careers • It is very difficult to diagnose and the patient may collapse and die during investigations • Life-saving emergency laparotomy is essential in seriously sick patients LEARNING OBJECTIVES• To increase awareness amongst clinicians about this rare condition • To help in the diagnosis and management of this serious pregnancy complication • To help save lives ETHICAL ISSUES• The safety of the mother and the intrauterine fetus • The removal of the extrauterine fetus to save the mother and the intrauterine fetus

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Heterotopic pregnancy in a natural conception following failed contraceptive practice

Uche¹,

Chinwenmeri²

2016

J Basic Clin Reprod Sci

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A Rare Case of Heterotopic Pregnancy with Ruptured Left Rudimentary Horn Pregnancy

Cited by 4 publications

References 7 publications

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review

Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review

Heterotopic Pregnancy

Heterotopic pregnancy in a natural conception following failed contraceptive practice

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