Term Pregnancy with a Live Fetus in Non-communicating Rudimentary Horn with Placenta Percreta

Shrivastava, Namrata; Yadav, Sumitra; Shrivastava, Vaibhav

doi:10.1007/s13224-014-0653-x

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…Shrivastava et al in their study of low birth babies found an incidence of 40% in primi gravida 4 . IUGR noted in 75% cases in which maternal height were < 145 cm 17 cases of < 45 kg of maternal weight were IUGR (73.2%).…”

Section: Observationsmentioning

confidence: 93%

Clinical Assessment of Intrauterine Growth Restriction and Its Correlation With Fetal Outcome

Chourasia¹,

Agarwal²,

Dudve³

2013

jemds

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Section: Observationsmentioning

confidence: 93%

Clinical Assessment of Intrauterine Growth Restriction and Its Correlation With Fetal Outcome

Chourasia¹,

Agarwal²,

Dudve³

2013

jemds

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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%

“…[ 56 ] However, a large review, which collected RHPs in the 20 th century, found that in 6.5% of all RHP cases, patients could obtain live newborn babies. [ 5 ] In addition, in the 21 st century, there are some cases in which patients could achieve live newborn babies by cesarean section,[ 11 23 26 35 44 57 58 59 60 61 62 63 64 ] although those situations may be extremely rare in the current developed countries. Thus, various situations should be considered when encountering NCRHP because its management would be affected by the different levels of obstetric medical care and diagnostic tools derived from individual countries, communities, or institutions.…”

Section: Introductionmentioning

confidence: 99%

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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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“…Among all ten cases of such an association reported in the past, eight had hemorrhagic rupture while in two laparotomy was done before the rupture [10,11].…”

Section: Introductionmentioning

confidence: 99%

Live Pregnancy in Non Communicating Horn of Unicornuate Uterus With Placenta Percreta: A Case Report and Review

Rohilla

Arora

Bagga

et al. 2017

JWRH

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Abstract:Objective:Mullerian anomalies of the female genital tract are rare and unicornuate uterus is one such variant: it may present with a rudimentary horn with or without a communication. Pregnancy is rare in a non communicating horn and majority of them end up in rupture during first trimester. The ones which progress to fetal viability are around 10 % and may end up in catastrophic hemorrhage with fetal loss at any time. Case report:We hereby report a rare case of unruptured rudimentary horn pregnancy associated with placenta accreta and delivery of a live born fetus at 34 weeks period of gestation. Around ten cases of such an association have been reported in the past. Conclusion:Diagnosis of pregnancy in a non communicating horn of a unicornuate uterus is challenging especially at term.High index of suspicion and timely delivery of a live fetus has major role in achieving best maternal and neonatal outcome.

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Term Pregnancy with a Live Fetus in Non-communicating Rudimentary Horn with Placenta Percreta

Cited by 6 publications

References 10 publications

Clinical Assessment of Intrauterine Growth Restriction and Its Correlation With Fetal Outcome

Clinical Assessment of Intrauterine Growth Restriction and Its Correlation With Fetal Outcome

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

Live Pregnancy in Non Communicating Horn of Unicornuate Uterus With Placenta Percreta: A Case Report and Review

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