The Pregnancy in Non-Communicating Rudimentary Horn of Unicornuate Uterus: A Case Report
Abstract
A unicornuate uterus with a non-communicating rudimentary horn has always been a notorious uterine malformation threatening normal pregnancy continuation. Pregnancy in the rudimentary horn of the uterus is rare, but it plays an essential role in maternal morbidity and mortality. Early detection of rudimentary horn pregnancy is vital because poor musculature can lead to the dangerous complication of uterine rupture. When a Rudimentary horn pregnancy is diagnosed, surgical treatment to excision the horn with ipsilateral salpingectomy is recommended because of its high risk of rupture in the second trimester. We present a case of non-communicating rudimentary horn pregnancy that was terminated, and the rudimentary horn was resected.
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[4] Tufail A, Hashmi HA. Ruptured ectopic pregnancy in rudimentary horn of the uterus. Journal of the College of Physicians and Sur- geons Pakistan. 2007; 17(2):105-6. [PPMID]
[5] Parveen R. Detection and management of pregnancy in rudimen- tary horn of uterus. Journal of the College of Physicians and Sur- geons Pakistan. 2019; 29(6):S70-S2. [DOI:10.29271/jcpsp.2019.06. S70] [PMID]
[6] Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in uni- cornuate uteri: A review. Fertility and Sterility. 2009; 91(5):1886-94. [DOI:10.1016/j.fertnstert.2008.02.163] [PMID]
[7] Eftekhari Yazdi M, Mortazavi F. Pregnancy in a rudimentary horn with a Live 19-weeks fetus: A case report. Journal of Midwifery and Reproductive Health. 2020; 8(1):2129-33. http://eprints.mums. ac.ir/12581/1/JMRH_Volume%208_Issue%201_Pages%-2133.pdf
[8] Ambusaidi Q, Jha C. Pregnancy in the rudimentary uterine horn: Case report of an unusual presentation. Sultan Qaboos Univer- sity Medical Journal. 2014; 14(1):e134-8. [DOI:10.12816/0003349] [PMID] [PMCID]
[9] Barter A. Rupture of pregnancy in a rudimentary uterine horn. British Medical Journal. 1961; 1(5228):796. [DOI:10.1136/ bmj.1.5228.796] [PMID] [PMCID]
[10] Thakur S, Sood A, Sharma C. Ruptured non-communicating rudi- mentary horn pregnancy at 19 weeks with previous cesarean de- livery: A case report. Case Reports in Obstetrics and Gynecology. 2012; 2012:308476. [DOI:10.1155/2012/308476] [PMID] [PMCID]
[11] Chowdhury S, Chowdhury T, Azim E. Pregnancy in a non-communi- cating rudimentary horn of uterus: A clinical case report. Bangladesh Medical Journal. 2010; 39(1):47-8. [DOI:10.3329/bmj.v39i1.6234]
[12] Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimen- tary horn pregnancy: First-trimester pre-rupture sonographic diagnosis and confirmation by magnetic resonance imaging. Jour- nal of Ultrasound in Medicine. 2005; 24(2):219-23. [DOI:10.7863/ jum.2005.24.2.219] [PMID]
[13] Brady PC, Molina RL, Muto MG, Stapp B, Srouji SS. Diagnosis and management of a heterotopic pregnancy and ruptured rudi- mentary uterine horn. Fertility Research and Practice. 2018; 4(6). [DOI:10.1186/s40738-018-0051-7] [PMID] [PMCID]
[14] Contreras KR, Rothenberg JM, Kominiarek MA, Raff GJ. Hand- assisted laparoscopic management of a mid-trimester rudimentary horn pregnancy with placenta increta: A case report and literature review. Journal of Minimally Invasive Gynecology. 2008; 15(5):644-8. [DOI:10.1016/j.jmig.2008.06.008] [PMID]
[15] Sevtap HK, Aral AM, Sertac B. An early diagnosis and successful local medical treatment of a rudimentary uterine horn pregnan- cy: A case report. Archives of Gynecology and Obstetrics. 2007; 275(4):297-8. [DOI:10.1007/s00404-006-0232-1] [PMID]
[16] Edelman AB, Jensen JT, Lee DM, Nichols MD. Successful medical abortion of a pregnancy within a non-communicating rudimentary uterine horn. American Journal of Obstetrics and Gynecology. 2003; 189(3):886-7. [DOI:10.1067/S0002-9378(03)00121-2][PMID]
[17] Kadan Y, Romano S. Rudimentary horn pregnancy diagnosed by ultrasound and treated by laparoscopy- A case report and review of the literature. Journal of Minimally Invasive Gynecology. 2008; 15(5):527-30. [DOI:10.1016/j.jmig.2008.05.010] [PMID]
[18] Wu CQ, Childress KJ, Traore EJ, Smith EA. A review of mullerian anomalies and their urologic associations. Urology. 2020; 151:98-106. [DOI:10.1016/j.urology.2020.04.088.] [PMID]
[2] Park JK, and Dominguez CE. Combined medical and surgical manage- ment of rudimentary uterine horn pregnancy. Journal of the Society of Laparo-Endoscopic Surgeons. 2007; 11(1):119-22. [PMID] [PMCID]
[3] Kumar N, Das V, Pandey A, Agrawal S. Torsion and rupture of a non-communicating rudimentary horn in a 17-week gestation in a 16-year-old girl: Lessons learnt. Case Reports. 2018: bcr-2017- 222073. [DOI:10.1136/bcr-2017-222073] [PMID] [PMCID]
[4] Tufail A, Hashmi HA. Ruptured ectopic pregnancy in rudimentary horn of the uterus. Journal of the College of Physicians and Sur- geons Pakistan. 2007; 17(2):105-6. [PPMID]
[5] Parveen R. Detection and management of pregnancy in rudimen- tary horn of uterus. Journal of the College of Physicians and Sur- geons Pakistan. 2019; 29(6):S70-S2. [DOI:10.29271/jcpsp.2019.06. S70] [PMID]
[6] Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in uni- cornuate uteri: A review. Fertility and Sterility. 2009; 91(5):1886-94. [DOI:10.1016/j.fertnstert.2008.02.163] [PMID]
[7] Eftekhari Yazdi M, Mortazavi F. Pregnancy in a rudimentary horn with a Live 19-weeks fetus: A case report. Journal of Midwifery and Reproductive Health. 2020; 8(1):2129-33. http://eprints.mums. ac.ir/12581/1/JMRH_Volume%208_Issue%201_Pages%-2133.pdf
[8] Ambusaidi Q, Jha C. Pregnancy in the rudimentary uterine horn: Case report of an unusual presentation. Sultan Qaboos Univer- sity Medical Journal. 2014; 14(1):e134-8. [DOI:10.12816/0003349] [PMID] [PMCID]
[9] Barter A. Rupture of pregnancy in a rudimentary uterine horn. British Medical Journal. 1961; 1(5228):796. [DOI:10.1136/ bmj.1.5228.796] [PMID] [PMCID]
[10] Thakur S, Sood A, Sharma C. Ruptured non-communicating rudi- mentary horn pregnancy at 19 weeks with previous cesarean de- livery: A case report. Case Reports in Obstetrics and Gynecology. 2012; 2012:308476. [DOI:10.1155/2012/308476] [PMID] [PMCID]
[11] Chowdhury S, Chowdhury T, Azim E. Pregnancy in a non-communi- cating rudimentary horn of uterus: A clinical case report. Bangladesh Medical Journal. 2010; 39(1):47-8. [DOI:10.3329/bmj.v39i1.6234]
[12] Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimen- tary horn pregnancy: First-trimester pre-rupture sonographic diagnosis and confirmation by magnetic resonance imaging. Jour- nal of Ultrasound in Medicine. 2005; 24(2):219-23. [DOI:10.7863/ jum.2005.24.2.219] [PMID]
[13] Brady PC, Molina RL, Muto MG, Stapp B, Srouji SS. Diagnosis and management of a heterotopic pregnancy and ruptured rudi- mentary uterine horn. Fertility Research and Practice. 2018; 4(6). [DOI:10.1186/s40738-018-0051-7] [PMID] [PMCID]
[14] Contreras KR, Rothenberg JM, Kominiarek MA, Raff GJ. Hand- assisted laparoscopic management of a mid-trimester rudimentary horn pregnancy with placenta increta: A case report and literature review. Journal of Minimally Invasive Gynecology. 2008; 15(5):644-8. [DOI:10.1016/j.jmig.2008.06.008] [PMID]
[15] Sevtap HK, Aral AM, Sertac B. An early diagnosis and successful local medical treatment of a rudimentary uterine horn pregnan- cy: A case report. Archives of Gynecology and Obstetrics. 2007; 275(4):297-8. [DOI:10.1007/s00404-006-0232-1] [PMID]
[16] Edelman AB, Jensen JT, Lee DM, Nichols MD. Successful medical abortion of a pregnancy within a non-communicating rudimentary uterine horn. American Journal of Obstetrics and Gynecology. 2003; 189(3):886-7. [DOI:10.1067/S0002-9378(03)00121-2][PMID]
[17] Kadan Y, Romano S. Rudimentary horn pregnancy diagnosed by ultrasound and treated by laparoscopy- A case report and review of the literature. Journal of Minimally Invasive Gynecology. 2008; 15(5):527-30. [DOI:10.1016/j.jmig.2008.05.010] [PMID]
[18] Wu CQ, Childress KJ, Traore EJ, Smith EA. A review of mullerian anomalies and their urologic associations. Urology. 2020; 151:98-106. [DOI:10.1016/j.urology.2020.04.088.] [PMID]
| Files | ||
| Issue | Vol 7 No 1 (2022): January-February | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i1.9633 | |
| Keywords | ||
| Pregnancy Unicornuate uterus Non-communicating rudimentary horn Resect | ||
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How to Cite
1.
Mousavi S, Rajabzadeh F, Mohammadiyoushanloie M, saleh maasoumeh. The Pregnancy in Non-Communicating Rudimentary Horn of Unicornuate Uterus: A Case Report. CRCP. 2022;7(1):29-32.
