1669 A Stepwise Approach to Laparoscopic Excision of a Non-Communicating Rudimentary Horn

2019 ◽  
Vol 26 (7) ◽  
pp. S110
Author(s):  
H Jan ◽  
M Katesmark ◽  
V Ghai
Keyword(s):  
Stepwise Approach ◽  
Rudimentary Horn ◽  
Laparoscopic Excision

scholarly journals A case report on ruptured rudimentary horn ectopic pregnancy

2021 ◽  
Vol 10 (6) ◽  
pp. 2504
Author(s):  
Milan R. Shingala ◽  
Bhavesh B. Airao
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Condition ◽  
First Trimester ◽  
Normal Pregnancy ◽  
Incomplete Fusion ◽  
Lateral Side ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Wide Range ◽  
Laparoscopic Excision

Unicornuate uterus with noncommunicating rudimentary horn occurs due to incomplete fusion of mullerian ducts. This malformation results from the defective fusion of the duct with the contra-lateral side. This rudimentary horn may or may not have functional cavity. Pregnancy in this horn is a rare phenomenon usually resulting in rupture during second trimester of pregnancy. IT is a rare condition that can lead to a catastrophic outcome when it rupture. Prerupture diagnosis of pregnancy in rudimentary horn with ultrasonography is technically difficult, with sensitivity of 30%. Pregnant rudimentary horn can present with wide range of symptoms that may be similar to ectopic pregnancy or may remain silent with features of normal pregnancy.1-2 We report a case of ruptured non-communicating rudimentary horn at 19 weeks in pregnant lady. In our opinion, routine excision of rudimentary horn should be undertaken during non-pregnant state laparoscopically. However, those women who refuse should be adequately counselled regarding potential complications and if pregnancy occurs in rudimentary horn, first trimester laparoscopic excision should be done.

scholarly journals LAPAROSCOPIC EXCISION OF RUPTURED NON-COMMUNICATING RUDIMENTARY HORN PREGNANCY [Rüptüre Non-Komminikan Rudimenter Horn Gebeliğinin Laparoskopik Eksizyonu]

2014 ◽  
Vol 45 (4) ◽  
pp. 171
Author(s):  
Hasan Onur TOPÇU ◽  
Ümit TAŞDEMİR ◽  
Ali İrfan GÜZEL ◽  
Mahmut Kuntay KOKANALI ◽  
Özlem EVLİYAOĞLU ◽  
...  
Keyword(s):  
Rudimentary Horn ◽  
Laparoscopic Excision

scholarly journals Stepwise approach to the laparoscopic excision of bladder endometriosis

2021 ◽  
Author(s):  
Dong Bach Nguyen ◽  
Kristina Arendas ◽  
Caitlin A. Jago ◽  
Jeffrey Warren ◽  
Sukhbir S. Singh
Keyword(s):  
Stepwise Approach ◽  
Laparoscopic Excision ◽  
Bladder Endometriosis

scholarly journals Ruptured Noncommunicating Rudimentary Horn Pregnancy at 19 Weeks with Previous Cesarean Delivery: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Sita Thakur ◽  
Ajay Sood ◽  
Chanderdeep Sharma
Keyword(s):  
Cesarean Delivery ◽  
First Trimester ◽  
Incomplete Fusion ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Laparoscopic Excision ◽  
Maternal Morbidity And Mortality ◽  
Mullerian Ducts ◽  
High Index Of Suspicion ◽  
Previous Cesarean

Unicornuate uterus with noncommunicating rudimentary horn occurs due to incomplete fusion of mullerian ducts. Pregnancy in this horn is a rare phenomenon usually resulting in rupture during second trimester of pregnancy. Prerupture diagnosis of pregnancy in rudimentary horn with ultrasonography is technically difficult, with sensitivity of 30%. We report a case of ruptured non-communicating rudimentary horn at 19 weeks in a woman with previous Cesarean delivery. She had a routine malformation scan in which diagnosis was missed. Later she presented to emergency in shock, with massive hemoperitoneum and ruptured horn. So a high index of suspicion is required to save this catastrophic event and associated maternal morbidity and mortality. In our opinion, routine excision of rudimentary horn should be undertaken during nonpregnant state laparoscopically. However, those women who refuse should be adequately counseled regarding potential complications and if pregnancy occurs in rudimentary horn, first trimester laparoscopic excision should be done.

Reproductive and obstetric outcome after laparoscopic excision of functional, non-communicating broadly attached rudimentary horn: a case series

2014 ◽  
Vol 182 ◽  
pp. 33-37 ◽  
Author(s):  
George Pados ◽  
Dimitrios Tsolakidis ◽  
Dimitrios Athanatos ◽  
Konstadinos Almaloglou ◽  
Nikos Nikolaidis ◽  
...  
Keyword(s):  
Case Series ◽  
Obstetric Outcome ◽  
Rudimentary Horn ◽  
Laparoscopic Excision

Unicornuate uterus with a functional non-communicating horn in adolescent

2021 ◽  
Vol 14 (8) ◽  
pp. e242874
Author(s):  
Rawan Abdulrahim A Jalil ◽  
Abeer Isa Alsada
Keyword(s):  
Female Genital Tract ◽  
Laparoscopic Approach ◽  
Female Adolescent ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Primary Dysmenorrhoea ◽  
Laparoscopic Excision ◽  
Common Causes ◽  
History Of ◽  
The Right

Common causes of pelvic pain are primary dysmenorrhoea, Müllerian duct anomalies, outflow obstruction, leiomyoma, endometriosis and adenomyosis. Unicornuate uterus with a rudimentary horn is a rare congenital malformation of the female genital tract, asymptomatic because of lack of functional endometrium. This study presents a rare case of a non-communicating functional rudimentary horn. A 16-year-old unmarried Yemeni female adolescent with a history of irregular painful menstrual period visited Obstetrics and Gynaecology outpatient clinic. Pelvic ultrasound was conducted showing an asymmetrical uterine configuration with the non-communicating rudimentary horn on the right side. Laparoscopic excision of the horn was planned for the patient. Non-communicating rudimentary horn with functional endometrium should be considered as a differential diagnosis in the female adolescent with obstructive uterine symptoms. Early diagnosis is crucial. Using the laparoscopic approach, an expert surgeon prefers definitive management to excise the rudimentary horn.

scholarly journals A Case of Recurrent Rudimentary Horn Ectopic Pregnancies Managed by Methotrexate Therapy and Laparoscopic Excision of the Rudimentary Horn

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Gaby N. Moawad ◽  
Elias D. Abi Khalil
Keyword(s):  
Ectopic Pregnancy ◽  
Methotrexate Therapy ◽  
Rudimentary Horn ◽  
Laparoscopic Excision ◽  
Ectopic Pregnancies

This report presents a case of a 31-year-old woman successfully treated medically for a noncommunicating rudimentary horn ectopic pregnancy who presented with a second, successive rudimentary horn pregnancy. Patient underwent laparoscopic excision of right rudimentary horn and right salpingectomy after failed methotrexate therapy. Given the potential for rupture and recurrence, serious efforts should be made to excise a uterine rudimentary horn.

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