Grossesse dans une corne rudimentaire: difficultés diagnostiques et prise en charge thérapeutique

Mamouni, Nisrine; Ghazal, N. B.; Erraghay, Sanaa; Bouchikhi, C.; Banani, Abdelaziz

doi:10.11604/pamj.2016.24.14.6659

Pan Afr Med J

2016

DOI: 10.11604/pamj.2016.24.14.6659

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Grossesse dans une corne rudimentaire: difficultés diagnostiques et prise en charge thérapeutique

Nisrine Mamouni

N. B. Ghazal

Sanaa Erraghay

et al.

Abstract: La survenue d'une grossesse dans une corne utérine rudimentaire est une situation obstétricale extrêmement rare et potentiellement grave, menaçant le pronostic materno-fœtal. Les auteurs rapportent cinq observations de grossesse dans une corne utérine rudimentaire, à travers lesquelles, ils relatent les difficultés sur le plan diagnostique ainsi que la prise en charge thérapeutique de cette entité pathologique, soulignant l'intérêt de l’échographie endovaginale, de l'IRM pelvienne et de la cœlioscopie dans le … Show more

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Cited by 2 publications

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Rare forms of ectopic pregnancy in the rudimentary horn and ovary. How not to miss the main thing?

Ginzburg,

Ginzburg

2024

V.F.Snegirev Archives of Obstetrics and Gynecology

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This article presents two cases of ectopic pregnancy in the ovary and rudimentary horn, which had a life-threatening course. Despite availability of modern high-quality diagnostics, determining the condition remains challenging, because the definitive diagnosis is established and confirmed only intraoperatively. Hence, the clinical picture can be used primarily in making a diagnosis and choosing an appropriate treatment strategy. Rare localizations, such as in the ovary and rudimentary horn, which cause difficulties in making a diagnosis, should not be overlooked. If an ectopic pregnancy is not detected promptly and the risks are underestimated, death may occur. Two clinical cases clearly demonstrate timely diagnosis, regardless of additional examination methods (e.g., pelvic ultrasound, human chorionic gonadotropin test), and adequate choice of access and scope of surgical intervention. Moreover, the lack of awareness among women about this type of pathology should be considered. Patients often do not complain, do not remember the date of their last menstruation, do not monitor their menstrual cycle, and do not seek medical help in a timely manner. The combination of several factors can lead to fatal events. In this study, both cases of ectopic pregnancy with a rare localization ended favorably.

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Rare forms of ectopic pregnancy in the rudimentary horn and ovary. How not to miss the main thing?

Ginzburg,

Ginzburg

2024

V.F.Snegirev Archives of Obstetrics and Gynecology

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Laparoscopic Management of Pregnancy in a U4 Uterine Malformarion: A Case Report

Benghanem,

Faïd,

Addad

et al. 2023

ejmhr

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Pregnancy in a rudimentary uterine horn is an extremely rare and potentially serious obstetric situation, threatening the maternal-foetal prognosis. Pregnancy can occur accidentally in the rudimentary horn. This is a true extra uterine pregnancy with a risk of rupture during the second trimester of pregnancy, which is why it must be diagnosed and managed rapidly from the start of pregnancy. We report the case of a patient with an arrested pregnancy on a rudimentary horn managed laparoscopically.

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Grossesse dans une corne rudimentaire: difficultés diagnostiques et prise en charge thérapeutique

Cited by 2 publications

References 7 publications

Rare forms of ectopic pregnancy in the rudimentary horn and ovary. How not to miss the main thing?

Rare forms of ectopic pregnancy in the rudimentary horn and ovary. How not to miss the main thing?

Laparoscopic Management of Pregnancy in a U4 Uterine Malformarion: A Case Report

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