Fertility after treatment of a noncommunicating rudimentary horn pregnancy: A case report

Laparoscopic Management of a 12-Week Pregnancy Loss in a Rudimentary Uterine Horn

“…In the present case, rapid surgical intervention was undertaken despite hemodynamic stability due to the risk of rupture and concern for a possible ectopic pregnancy. The patient was counseled postoperatively regarding the maintenance of fertility and the possibility of a future pregnancy [15]. Based on thin peritoneal tissue between the two horns and no apparent disruption to the remnant cavity, we are confident that in the present case, the two horns were not communicating.…”

“…In the present case, rapid surgical intervention was undertaken despite hemodynamic stability due to the risk of rupture and concern for a possible ectopic pregnancy. The patient was counseled postoperatively regarding the maintenance of fertility and the possibility of a future pregnancy [ 15 ].​ Based on thin peritoneal tissue between the two horns and no apparent disruption to the remnant cavity, we are confident that in the present case, the two horns were not communicating. On the other hand, in cases of communicating rudimentary horn excision involving disruption of the dominant horn cavity, postoperative counseling may include a discussion of cesarean sections for future pregnancies based on prior literature [ 14 , 16 ].…”

Rupture of non-communicating rudimentary horn at 35 weeks ending with a live birth: A case report

“…Whereas, in our case, the patient was asymptomatic, came to the hospital for routine examination and she was not aware of having uterine malformation. Rudimentary horn pregnancy (RHP) is a rare case, occurs in approximately 1/76,000 to 1/150,000 pregnancies due to transperitoneal migration of sperm from the contralateral fallopian tube [ 10 ]. However, 40 % of women with RHP exhibit pregnancy related issues, such as first-and second trimester's abortion, preterm births, extra uterine pregnancy and intrauterine fetal death, a pregnancy can develop in both primitive noncommunicative and communicating horns [ 7 ].…”

“…Pregnancy outcomes are commonly classified as abortion, preterm delivery, uterine rupture and, rarely, full-term pregnancy [ 7 ]. Rudimentary horn pregnancies are associated with high maternal morbidity and mortality, with 50 % risk of uterine rupture which can lead to huge hemoperitoneum and could end with death [ 10 ], so because of the risk of life-threatening complications, early diagnosis before rupture is essential for the successful management and prevention of these complications. In the past, it was difficult to diagnose a rudimentary horn pregnancy and the diagnosis mostly was made accidentally in the operating room during surgery, when the gestational horn ruptures.…”