Pregnancy in a Non-Communicating Rudimentary Horn of Uterus: A Clinical Case Report

Chowdhury, Sameena; Chowdhury, Tufayel Ahmed; Azim, E

doi:10.3329/bmj.v39i1.6234

Cited by 22 publications

(20 citation statements)

References 6 publications

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“…8 Ninety percent of rudimentary horns are noncommunicating to the main uterine cavity, and pregnancy in the rudimentary horn results from transperitoneal migration of the sperm or conceptus. 1,9 The majority of patients with Mü llerian anomalies are asymptomatic. Dysmenorrhea (80%), urinary-tract anomalies (60%), hematometra, and endometriosis are commonly associated with the presence of a rudimentary uterine horn because of the existence of functioning endometrium.…”

Section: Discussionmentioning

confidence: 99%

Prerupture Sonographic Diagnosis and Management of Rudimentary Horn Pregnancy: A Rare Presentation

Bishnoi

Sirohiwal

Nanda

et al. 2013

Journal of Gynecologic Surgery

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Background: Rudimentary horn pregnancy is a rare form of ectopic pregnancy, and rupture of the pregnant rudimentary horn in the second trimester is the usual presentation. Most cases are diagnosed at laparotomy for hemorrhagic shock, with increased maternal morbidity and, at times, mortality. Although the diagnosis prior to rupture is difficult, early detection is essential for timely management. Among various investigative methods, such as ultrasound scanning, computed tomography scanning, magnetic resonance imaging, and laparoscopy, ultrasonography plays an important role in early diagnosis of this condition and in planning management. Case: A 23-year-old woman, gravida two, para one, A0, in the fifth month of her pregnancy was referred by a private practitioner after routine ultrasonography revealed a live extrauterine pregnancy. Her general condition was good. A repeat ultrasound at the Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India, showed a rudimentary-horn pregnancy of 15 weeks gestation and a normal uterus on her right side. Laparotomy, followed by excision of the rudimentary horn was performed. Results: The patient's postoperative period was uneventful. Conclusions: Although diagnosis prior to rupture is difficult, early detection of rudimentary-horn pregnancy is essential to avoid a fatal outcome. One should suspect this rare entity if a patient is complaining of lower abdominal pain in early pregnancy. Early ultrasonography in such cases should be performed, because it plays an important role in diagnosing rudimentary-horn pregnancy especially in the prerupture state, as was seen in this case. our case. ( J GYNECOL SURG 29:140)

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Section: Discussionmentioning

confidence: 99%

Prerupture Sonographic Diagnosis and Management of Rudimentary Horn Pregnancy: A Rare Presentation

Bishnoi

Sirohiwal

Nanda

et al. 2013

Journal of Gynecologic Surgery

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“…An early bimanual palpation showing a deviated uterus with a palpable adnexal mass extending outside the uterine angle (Baart de la faille's sign) should lead to a suspicion of this anomaly 6 . The availability of advanced ultrasound and magnetic resonance imaging makes the diagnosis of this condition possible at an early gestational age.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of 32 Weeks Rudimentary Horn Pregnancy with Successful Outcome

Bhuyar¹,

Katkar²

2014

IOSRJDMS

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“…6 As the uterine wall is thicker and more vascular, bleeding is more severe in rudimentary horn pregnancy rupture. 7 Kadan and Romano described rudimentary horn rupture as the most significant threat to pregnancy and a lifethreatening situation. 8 Early diagnosis of the condition is essential and can be challenging.…”

Section: Gaur Y Et Al Int J Reprod Contracept Obstet Gynecol 2017 Smentioning

confidence: 99%

Rudimentary horn pregnancies: dilemmas in diagnosis

Gaur

Goswami

Meravi

2017

Int J Reprod Contracept Obstet Gynecol

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Rudimentary horn pregnancy is a rare obstetric entity and the diagnosis and management may pose some problems especially in a low-resource center. We report a case of G1P0 with pregnancy of 28 weeks gestation with diagnosed intrauterine fetal death, which was suspected as extra uterine pregnancy bases on failed attempts of termination of pregnancy and on laparotomy, a dead fetus of 16 weeks was found in left unruptured noncommunicating horn of unicornuate uterus. Diagnosis of rudimentary horn pregnancy is difficult and can be missed in ultrasound. It requires a high index of suspicion.

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Pregnancy in a Non-Communicating Rudimentary Horn of Uterus: A Clinical Case Report

Cited by 22 publications

References 6 publications

Prerupture Sonographic Diagnosis and Management of Rudimentary Horn Pregnancy: A Rare Presentation

Prerupture Sonographic Diagnosis and Management of Rudimentary Horn Pregnancy: A Rare Presentation

An Unusual Case of 32 Weeks Rudimentary Horn Pregnancy with Successful Outcome

Rudimentary horn pregnancies: dilemmas in diagnosis

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