The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience

Li, Xiaoyan; Peng, Ping; Li, Xinyan; Chen, Weilin; Liu, Juntao; Yang, Jin; Bian, Xu-ming

doi:10.1371/journal.pone.0210788

Cited by 31 publications

(37 citation statements)

References 33 publications

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“…Studies in the literature showed that rupture was significantly higher in communicant rudimentary horn pregnancies. Rupture was observed in communicant 60% and non-communicants 17.6% [15]. In our study, one patient with communicating rudimentary horn pregnancy was admitted to our clinic with rupture (100%).…”

Section: Discussionmentioning

confidence: 53%

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Rudimentary horn pregnancy — ten years of experience

et al. 2020

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Objectives:This study aimed to evaluate data on early diagnosis and therapeutic management of rudimentary horn pregnancy (RHP). Material and methods:Patients diagnosed with RHP at a tertiary center between for two periods of 2008-2012 and 2013-2018 were analysed retrospectively. We obtained information of patients from hospital electronic archive registration system. Data on demographic characteristics, clinical presentation, gestational age at presentation, presenting symptoms, diagnostic methods, and therapeutic management were noted and analysed by descriptive statistical method. Demographic datas, the complaint of patient's admission to hospital, history of cesarean section, preliminary diagnosis and intraoperative diagnosis were compared between periods of 2008-2012 and 2013-2018.Results: A total of 14 RHP patients were included. Eight (57.1%) of these patients were diagnosed between 2008-2012 (Group 1), whereas six patients (42.9%) were diagnosed between 2013-2018 (Group 2). Rudimentary horn was non-communicating in 13 patients (92.8%). Communicated form was observed in 1 patient in group 1. RHP was diagnosed on the left side in nine patients (64.2%). Six of these patients were observed in group 1 and 3 were in group 2. The pre-rupture diagnosis was made in 10 (71.4%) patients. Six (100%) of 10 patients were in group 2. In addition, in group 1, four patients (50%) experienced intraoperative RHP rupture. RHP was diagnosed before rupture in 2 (33.3%) patients in group 2. Conclusions:It is an indication of advanced ultrasonographic technology as well as increased carefulness on the physician side and raised alertness on the patient side that today both RHP and preoperative rupture of RHP are less frequent. Still, further awareness is required among physicians of the necessity of excision of a rudimentary horn that is detected at the time of C-section.

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Section: Discussionmentioning

confidence: 53%

“…Following the confirmation of RHP and excision of the horn, termination of pregnancy must be considered and performed, if necessary [15]. In the present study, 2 (33.3%) of 6 patients got a diagnosis of RHP during routine pregnancy follow-up visits after 2012.…”

Section: Discussionmentioning

confidence: 64%

Rudimentary horn pregnancy — ten years of experience

et al. 2020

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“…When a rudimentary horn is present, it is the noncavitary type in 33% of cases, the cavitary but noncommunicating type in 22% of cases, and the cavitary and communicating type in 10% of cases [8].…”

Section: Discussionmentioning

confidence: 99%

“…Most cases of rudimentary horn pregnancy (RHP) provide a diagnostic challenge and are diagnosed after rupture, which leads to emergency surgery, blood transfusions, and increased morbidity [8].…”

Section: Discussionmentioning

confidence: 99%

Rudimentary Horn Pregnancy Diagnosed after Laparotomy

Mengistu

Bobe

Tilahun

et al. 2020

Case Reports in Obstetrics and Gynecology

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Müllerian abnormalities are present in 0.17% of fertile women and 3.5% of infertile women, and a unicornuate uterus is observed in 0.4% of women. The uterus is normally formed during embryogenesis by the fusion of the two Müllerian ducts. If one of the ducts does not develop, only one Müllerian duct contributes to the uterine development. We report a case of Gravida II, abortion I referred from a primary hospital with a referral paper and sonography stating she had IUFD. She had regular antenatal care follow-up at the primary hospital and had 8 months of amenorrhea. Our ultrasound assessment confirmed the intrauterine fetal demise, but the rudimentary horn pregnancy was missed. Repeated attempts at the induction of labor were tried but unsuccessful. The diagnosis was confirmed at laparotomy. She underwent cesarean section with right intact rudimentary horn removal. A nonviable male fetus with birth weight of 1.2 kg was delivered. Women with this abnormality are asymptomatic and unaware of having a unicornuate uterus. Abdominal pain is the most common presenting symptom with the rudimentary horn, but communicating horn pregnancy is generally asymptomatic in early pregnancy. Early awareness of this rare clinical condition is so crucial especially in developing countries where the availability of new technologies is scarce to explore uterine abnormalities. The patient had uneventful postoperative recovery and was discharged after 3 postoperative days.

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“…The prevalence of rudimentary horn pregnancy is very low (1 in 76 000–150 000 pregnancies) [1,[3], [4], [5], [6],9,12,13,18]. It mainly occurs in a non-communicating rudimentary horn by transperitoneal migration of sperm or fertilized ovum [[3], [4], [5], [6],9,11,12].…”

Section: Introductionmentioning

confidence: 99%