Management of un-ruptured pregnancy in a rudimentary horn of unicornuate uterus at 14 weeks gestation

Panayotidis, Costas; Prabhu, Sunil

doi:10.1007/s10397-007-0279-4

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…4,5 Although MRI is the most commonly used imaging modality to differentiate the different uterine structural malformation, ultrasound can be used to make the diagnosis of pregnancy in a rudimentary horn. 2,5 .Both modalities were used in our case which demonstrated similar conclusion-a noncommunicating rudimentary horn pregnancy.…”

Section: Case Reportmentioning

confidence: 57%

“…The de nitive diagnosis is made by laparoscopy or laparotomy especially in those cases complicated with uterine rupture. 2 Medication abortion should not be provided to non-communicating rudimentary horn cases who seek abortion care, as it carries a high risk of uterine rupture and failed medication abortion, 6,7 as it was encountered in our Costas Panayotidis and Sanjay Prabhu reported a similar case; 14 weeks missed abortion case that underwent medication abortion before surgical abortion was attempted, which too failed, leading to suspicion of non-communication rudimentary horn pregnancy. The diagnosis was con rmed later with laparoscopy and laparotomy was done (because of diffuse adhesion that made laparoscopic resection di cult) through which the rudimentary horn excised and was found to be non-communicating.…”

Section: Case Reportmentioning

confidence: 92%

“…The diagnosis was con rmed later with laparoscopy and laparotomy was done (because of diffuse adhesion that made laparoscopic resection di cult) through which the rudimentary horn excised and was found to be non-communicating. 2 The de nitive management is a surgical approach with preferable laparoscopic approach under experienced hands and when available, otherwise laparotomy with a conservative surgery such as wedge resection, which was also utilized in our case, is advisable for nulliparous or infertile women.…”

Section: Case Reportmentioning

confidence: 92%

“…1 Missed second trimester abortions in a non-communicated rudimentary horn is a rare event. 2 we report a case of unicoruntate uterus with non-communicated rudimentary horn pregnancys.…”

Section: Introductionmentioning

confidence: 89%

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Non-Communicating Rudimentary Horn Pregnancy Presenting as a Second Trimester Missed Abortion: A Case Report

TEKLU,

FESSEHAYE,

GODIE

2024

Preprint

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Non-communing rudimentary horn pregnancy can present as missed abortion and medication abortion should be avoided in such cases as it may precipitate uterine rupture. The definitive diagnosis is made by laparoscopy or laparotomy especially in those cases complicated with uterine rupture. Second trimester missed abortion cases should undergo a meticulous ultrasound evaluation before proceeding with abortion care and a diagnosis of unicornate uterus with a rudimentary horn pregnancy should be considered.

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Section: Case Reportmentioning

confidence: 57%

Section: Case Reportmentioning

confidence: 92%

Section: Case Reportmentioning

confidence: 92%

“…1 Missed second trimester abortions in a non-communicated rudimentary horn is a rare event. 2 we report a case of unicoruntate uterus with non-communicated rudimentary horn pregnancys.…”

Section: Introductionmentioning

confidence: 89%

See 2 more Smart Citations

Non-Communicating Rudimentary Horn Pregnancy Presenting as a Second Trimester Missed Abortion: A Case Report

TEKLU,

FESSEHAYE,

GODIE

2024

Preprint

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“…This increases the chances of a successful pregnancy by eliminating the risk of ectopic pregnancy in rudimentary horn as well as the possibility of retrograde menstruation leading to endometriosis and infertility. 12 Since in our case report there was no such history, we ended up doing laparotomy for ruptured rudimentary horn.…”

Section: Discussionmentioning

confidence: 84%

Unicornuate uterus: case reports of heterogenous presentations challenging clinical diagnosis and management

Trivedi

Khokher

Rastogi

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed mullerian duct or paramesonephric duct with the contralateral duct. Pregnancy in non-communicating rudimentary horn can result in I and II trimester pregnancy losses along with maternal morbidity and mortality. Here we describe three such cases of unicornuate uterus with non-communicating rudimentary horn pregnancy, who presented to our hospital with pain in lower abdomen. Two of them with II trimester pregnancy landed in haemorrhagic shock owing to rupture of pregnant horn, though were revived by immediate intervention. Third patient who came with a definitive diagnosis of I trimester rudimentary horn pregnancy was managed electively by hemi-hysterectomy. Rupture of pregnant uterus can occur in II trimester when associated with uterine anomaly. Early sonographic diagnosis has a major offering in workup, management and prevention of mother from grave life threatening consequences.

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New Method of Coronoplasty Surgery in Unicornuate Uterus with Rudimentary Horn; Case Report of Sarem Women’s Hospital

Saremi

Komleh

Pooladi

2019

SJRM

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Ectopic pregnancy within a rudimentary horn in a case of unicornuate uterus [3] The noncommunicating rudimentary horn: diagnostic and therapeutic challenges [4] Rare case of live birth in a ruptured rudimentary horn pregnancy [5] Laparoscopic management of a cavitated noncommunicating rudimentary uterine horn of a unicornuate uterus: a case report [6] Torsion of a rudimentary uterine horn at 22 weeks of gestation [7] Torsion of fallopian tube remnant associated with noncommunicating rudimentary horn in adolescent girl with unicornuate uterus [8] Preventing ectopic pregnancies: how often does transperitoneal transmigration of sperm occur in effecting human pregnancy? [9] A 32 weeks twin pregnancy in a non-communicating rudimentary horn:Case report [10] Laparoscopic management of an 11-week rudimentary uterine horn pregnancy using extracorporeal roeder knot to secure the dilated vascular pedicle [11] A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn: a case report [12] Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review [13] Management of un-ruptured pregnancy in a rudimentary horn of unicornuate uterus at 14 weeks gestation [14] Rudimentary horn pregnancy: a 10year experience and review of literature [15] Laparoscopic excision of rudimentary horn pregnancy in a patient with previous caesarean section [16] Robot-assisted laparoscopic surgery for a rudimentary uterine horn with two non-communicating cavities [17] Pregnant noncommunicating rudimentary uterine horn with placenta percreta Aims Unicornuate uterus is one of the congenital anomalies of female reproductive system causing many important complications such as hematometra, endometriosis, torsion and ectopic pregnancy. Endometrial cavity in the rudimentary horn and small cavity of the uterus are the most important causes of these complications. Between referring to gynecologic clinics in emergency situations such as abortion, preterm labor, extra-uterus pregnancy, and in non-emergency such as infertility and endometriosis, there are many abnormalities in the reproductive system, some of which are associated with abnormalities in the urinary system; Therefore, trying to treat the uterus greatly resolves one of the problems of obstetrics and gynecology. In this study, a new method of coronoplasty surgery was introduced in the unicornuate uterus with the rudimentary horn.Patient & Methods This study is a case report that was done in 2013. A 22-year-old woman referred to sarem women's hospital for secondary infertility and undergoing diagnostic laparoscopy and the surgeon realized the unicornuate uterus with the rudimentary horn. In this patient, the rudimentary horn was not cut off and during a new surgical procedure called coronoplasty, the rudimentary horn was connected to the uterus major horn and was reconstructed as a larger uterus. Conclusion Coronoplasty is novel and effective surgery method for reconstruction of unicornuate uterus with rudimentary horn.

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Management of un-ruptured pregnancy in a rudimentary horn of unicornuate uterus at 14 weeks gestation

Abstract: We present a case of missed miscarriage in an unsuspected non communicating rudimentary horn on a unicornuate uterus. The difficulties of the diagnosis and management of such congenital malformation are described.

Cited by 3 publications

References 14 publications

Non-Communicating Rudimentary Horn Pregnancy Presenting as a Second Trimester Missed Abortion: A Case Report

Non-Communicating Rudimentary Horn Pregnancy Presenting as a Second Trimester Missed Abortion: A Case Report

Unicornuate uterus: case reports of heterogenous presentations challenging clinical diagnosis and management

New Method of Coronoplasty Surgery in Unicornuate Uterus with Rudimentary Horn; Case Report of Sarem Women’s Hospital

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