Rudimentary uterine horn pregnancy: a mystery diagnosis.

Abstract:

OBJECTIVE:To emphasize the importance of complete ultrasonographic evaluation during the first trimester of pregnancy. DESIGN:Case report. SETTING:Obstetric unit in a training and research hospital. PATIENT(S):A 27-year-old primigravida woman who reached 37 weeks' gestation with a noncommunicating rudimentary horn pregnancy. INTERVENTION(S):The accurate diagnosis of a noncommunicating rudimentary horn pregnancy was made after cesarean section at 37 weeks' gestation. Rudimentary horn excision and ipsilateral salpingectomy were performed during exploration. MAIN OUTCOME MEASURE(S):Early diagnosis using sonography to prevent maternal morbidity and mortality. RESULT(S):A female baby with a 7/10 apgar score was delivered successfully. The patient and her baby were both discharged in good health. CONCLUSION(S):Rudimentary uterine horn pregnancy should always be considered as a differential diagnosis of intrauterine pregnancy in a bicornuate uterus. A thorough ultrasonographic examination should be performed on the aspects of the pregnancy and the pelvic anatomy. Lack of knowledge of and experience with müllerian anomalies still makes these anomalies difficult to recognize even with laparoscopy.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Arslan T,Bilgiç E,Sentürk MB,Yücel N

doi

10.1016/j.fertnstert.2009.08.027

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

2037.e1-3

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)03490-6

journal_volume

92

pub_type

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