Tubal pregnancy in a unicornuate uterus with rudimentary horn: a case report.

Abstract:

OBJECTIVE:To report a case of tubal pregnancy in a unicornuate uterus with rudimentary horn on the side of the rudiment and its pathology. DESIGN:Case report. SETTING:University hospital. PATIENT:An 18-year-old woman, primigravida, with tubal pregnancy. INTERVENTION(S):Systemic administration of methotrexate, salpingectomy by laparotomy, and laparoscopic surgery for resection of rudimentary horn. MAIN OUTCOME MEASURE(S):Emergent laparotomy revealed that the intraperitoneal hemorrhage was caused by the rupture of the tubal pregnancy on the same side as the rudimentary horn of the unicornuate uterus. A corpus luteum was found at the ipsilateral ovary of the rudimentary horn. RESULT(S):Image diagnosis and pathological examination of the rudimentary horn revealed that this uterine malformation was a unicornuate uterus with a noncommunicated, noncavitary rudimentary horn, corresponding to class IIc of the American Fertility Society classification of müllerian anomalies. CONCLUSION(S):This is the first report of a tubal pregnancy on the side of the noncommunicating rudimentary horn with the ipsilateral ovary carrying a corpus luteum in a unicornuate uterus.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Handa Y,Hoshi N,Yamada H,Wada S,Kudo M,Tsuda K,Sagawa T,Fujimoto S

doi

10.1016/s0015-0282(99)00212-5

keywords:

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

354-6

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015028299002125

journal_volume

72

pub_type

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