Ruptured rudimentary horn pregnancy at sixteen weeks

Zeqiri, Fehmi; Paçarada, Myrvete; Kongjeli, Niltene; Zeqiri, Vlora; Kongjeli, Gyltene

doi:10.5152/jtgga.2010.28

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…22 Also rudimentary horn excision was found less cumbersome be it hematometra or a pregnancy in rudimentary horn. [22][23][24] Two cases of transverse vaginal septum resection were positive for tuberculosis on tissue biopsy. One resumed normal menstruation and next one had introital stenosis requiring graft to widen it.…”

Section: Discussionmentioning

confidence: 99%

Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal

Katuwal

Rana

2020

Nepal J Obstet Gynaecol

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Aims: To find out the uterovaginal anomalies associated with congenital genital tract obstruction and successes achieved in its management. Methods: This was a descriptive study done at department of Obs/Gyn at Tribhuvan University Teaching Hospital from April 2014 to April 2018. Types of genital tract obstruction, surgical treatment, success of management and surgical complications were studied. Results: Of 35 cases 16 (46%) consisted of adolescents aged 11-15 yrs. Majority cases of GTO was due to vaginal septum 12(34%): longitudinal 4(33%), mostly transverse vaginal septum (TVS) 8(67%): upper TVS 4 and lower TVS 4,one among each associated with concurrent Imperforate hymen (IH). Other GTO consisted of only IH cases 9 (26%), vaginal agenesis 7 (21%), non- communicating rudimentary horn 4 , non-communicating right cornua 1and cervical stenosis 1(3%). Resection of septum performed in 12 cases of vaginal septum. hymenectomy in 8 and rudimentary horn excision in 4 cases. Restenosis was common complication in six cases. Conclusions: Adolescent age of 11-15 years is the common age of presentation of genital tract anomaly with vaginal septum the most common. Pre-surgical assessment is the key to successful surgical outcome. Keywords: adolescent, congenital, genital tract obstruction, resection

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Section: Discussionmentioning

confidence: 99%

Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal

Katuwal

Rana

2020

Nepal J Obstet Gynaecol

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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%

“…[ 5 10 ] To treat these cases, emergency laparotomy is performed. Apart from detecting hypovolemic shock,[ 11 12 13 14 15 16 17 ] patients frequently have abdominal pain,[ 7 11 13 14 15 16 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 ] but some reports have indicated that only 8% of rudimentary horn pregnancies (RHPs) are diagnosed before the symptoms appear. [ 44 ] Sufficient knowledge seems necessary to detect NCRHP during early obstetric screening.…”

Section: Introductionmentioning

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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Ruptured rudimentary horn pregnancy at sixteen weeks

Cited by 2 publications

References 6 publications

Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal

Congenital genital tract obstruction as a challenge for functioning reproductive health: a study from a tertiary care center in Nepal

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

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