Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: Prerupture diagnosis and management

Yu-Ju Lai, Chen-Hsien Lin, Wen-Chien Hou, Kwei-Shuai Hwang, Mu-Hsien Yu, Her-Young Su
2016 Taiwanese Journal of Obstetrics & Gynecology  
Keywords: ectopic pregnancy prenatal magnetic resonance imaging prenatal ultrasound rudimentary horn pregnancy a b s t r a c t Objective: The estimated incidence of rudimentary horn pregnancy is one in 76,000. It is a lifethreatening entity with a 50% risk of uterine rupture. With advances in prenatal ultrasound in recent decades, there may be an opportunity to detect rudimentary horn pregnancy earlier, resulting in a lower incidence of maternal morbidity and mortality. Management is typically
more » ... esection of the rudimentary horn and the ipsilateral fallopian tube by either laparotomy or laparoscopy. Case Report: Here, we present the case of a 22-year-old woman with a suspected ectopic pregnancy of 12 weeks' gestation. Ultrasound and magnetic resonance imaging were performed as preoperative evaluations. A definitive diagnosis was made during laparotomy, and resection of the rudimentary horn pregnancy was performed. Conclusion: Diagnosis and management of rudimentary horn pregnancy remain a challenge. We should be alert to prenatal ultrasound with the intention of making an earlier diagnosis, thereby resulting in decreased maternal morbidity and mortality.
doi:10.1016/j.tjog.2016.06.009 pmid:27590392 fatcat:nlacnezrebfhforxpn4zbew6ji