Fertility Following Laparoscopic Removal of Rudimentary Horn with an Ectopic Pregnancy

2002 ◽  
Vol 24 (7) ◽  
pp. 575-576 ◽  
Author(s):  
A.J. Adolph ◽  
G.B. Gilliland
Keyword(s):  
Ectopic Pregnancy ◽  
Rudimentary Horn ◽  
Laparoscopic Removal

Ruptured ectopic pregnancy in non-communicating right rudimentary horn: A case report

2016 ◽  
Vol 13 (4) ◽  
pp. 249-252 ◽  
Author(s):  
Ahmed S. Elagwany ◽  
Hisham H. Elgamal ◽  
Tamer M. Abdeldayem
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Rudimentary Horn

scholarly journals Total Laparoscopic Conservative Surgery for an Intramural Ectopic Pregnancy

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Hiroshi Nabeshima ◽  
Mitsuo Nishimoto ◽  
Hiroki Utsunomiya ◽  
Maiko Arai ◽  
Tomohisa Ugajin ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Conservative Surgery ◽  
Cystic Mass ◽  
Heart Beat ◽  
Transvaginal Sonography ◽  
Chorionic Villi ◽  
Pathologic Evaluation ◽  
History Of ◽  
Gestational Sac ◽  
Laparoscopic Removal

A 38-year-old woman, gravida 3, para 1 with a history of a left salpingectomy for an ectopic pregnancy was admitted for treatment of a presumed ectopic pregnancy. Transvaginal sonography revealed an ill-defined gestational sac and fetal heart beat within the fundal myometrium adjacent to the left cornua. Laparoscopy was performed for a suspected left cornual pregnancy or intramural pregnancy. A cystic mass 3 cm in diameter was visible within the fundal myometrium. Total laparoscopic removal of the gestational sac was performed, and the uterus was preserved. Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium. In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported. However, in the prior report, the patient still required hysterectomy after conservative surgery. Therefore, this is the first report of the successful treatment of an intramural pregnancy exclusively with laparoscopy.

scholarly journals Pregnancy in Noncommunicating Rudimentary Horn of Unicornuate Uterus: A Case Report and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Melese Gezahegn Tesemma
Keyword(s):  
Ectopic Pregnancy ◽  
Hypovolemic Shock ◽  
Emergency Laparotomy ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Ultrasound Evaluation ◽  
Compatible Blood ◽  
High Index Of Suspicion ◽  
Time Of Presentation ◽  
Rule Out

Pregnancy implanted in the rudimentary horn of unicornuate uterus is very rare with an incidence of 1 in 75,000 to 1 in 150,000 pregnancies. Both prerupture and postrupture diagnosis of ectopic pregnancy in the rudimentary horn of a unicornuate uterus is difficult. Here is a case of a 21-year-old gravida 5 para 3 abortion 1 mother presented with abdominal pain of 2 days duration following a falling accident. The patient was severely anemic and was in hypovolemic shock at the time of presentation. She had diffused lower abdominal tenderness with hemoperitonium. After clinical and ultrasound evaluation, emergency laparotomy was decided for preop diagnosis of ruptured cornual ectopic pregnancy to rule out uterine rupture at gestational age of 16 weeks. Intraoperatively, ruptured ectopic pregnancy in noncommunicating rudimentary horn was diagnosed. Resection of rudimentary horn and ipsilateral salpingectomy was done. She was transfused with 5 units of compatible blood. It is better to increase awareness about pregnancy occurring in this rare uterine anomaly, so as to have a high index of suspicion as early detection before it gets ruptured is difficult.

Rudimentary Horn Ectopic Pregnancy

1994 ◽  
Vol 10 (1) ◽  
pp. 31-34
Author(s):  
Cissy Bruening ◽  
Wanda Farnsworth ◽  
Scott Hansen
Keyword(s):  
Ectopic Pregnancy ◽  
Rudimentary Horn

scholarly journals Cornual Ectopic Pregnancy, Which Had Continued to Full Term; Deliver a Healthy Fetus

2019 ◽  
Vol I (1) ◽  
pp. 18-20
Author(s):  
Marina J Al Ata Allah
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Full Term ◽  
Mullerian Duct ◽  
Mortality And Morbidity ◽  
Müllerian Duct ◽  
Rudimentary Horn ◽  
Pregnancy Diagnosis

Rudimentary horn pregnancy is a rare ectopic pregnancy in uterine horn caused by abnormal or failed development of one Müllerian duct with a healthy fetus. A significant number of cases reported an incidence of 1 in 76,000 and 1 in 150,000 and some cases are not detected. Timely management of rudimentary horn pregnancy is pivotal in reducing mortality and morbidity. This study is designed to present a case of live 36-week primary horn ectopic pregnancy diagnosis using Ultrasound. Serum B-HCG levels normalized on postoperative first month.

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 A Ruptured Cornual Ectopic Pregnancy at 17 Weeks Gestation: A Case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 50-51
Author(s):  
MI Khan ◽  
R Nyeer ◽  
R Laila ◽  
S Jahan
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Rupture ◽  
Cornual Pregnancy ◽  
Rudimentary Horn ◽  
Ectopic Gestation

Cornual pregnancy is a specific variety of ectopic gestation which occurs in the rudimentary horn of the uterus. It often rupture later than other tubal pregnancies because the myometrium is more distensible than the fallopian tube. Traditionally, the treatment is cornual resection (removal of rudimentary horn) or hysterectomy where the pedicle is short and the attachment is wide. Here, we report a case where cornual pregnancy was diagnosed at 17 weeks of gestation after uterine rupture and profound haemorrhage. The patient underwent laparotomy followed by cornual resection with salpingectomy. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18558 Birdem Med J 2014; 4(1): 50-51

scholarly journals Uterine Rupture of a Patient With Rudimentary Horn Pregnancy at 26th Gestational Weeks Diagnosed via Magnetic Resonance Imaging: a Case Report

2022 ◽  
Author(s):  
SEVCAN SARIKAYA ◽  
MUHSİN NUH AYBAY
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Ectopic Pregnancy ◽  
Sudden Onset ◽  
Free Fluid ◽  
Cervical Canal ◽  
Resonance Imaging ◽  
Rudimentary Horn ◽  
Abdominal Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

Abstract Objective: Pregnancy of Rudimentary Horn is a type of ectopic pregnancy, that is recognized almost always during surgical treatment of a rupture of the rudimentary horn. This is an obstetric case diagnosed preoperatively by magnetic resonance imaging (MRI).Case: We report the case of a 19-years-old primigravida patient with rupture of rudimentary horn in 26th gestational week. The patient presented with sudden onset severe abdominal pain in the emergency room. Intraabdominal free fluid is detected. To evaluate the etiology of free fluid and location of the gestational sac, an abdominal magnetic resonance imaging (MRI) scan was planned. The decision of emergent laparotomy is made because of sonographic detection of abdominal excessive -concentrated- free fluid, abdominal tenderness, and 2 points decrease of hemoglobin value in the control hemogram. A rudimentary horn pregnancy and fundal rupture of the rudimentary part of the uterus are diagnosed during the surgical procedure. A baby -live- weighing 450 grams was delivered. The ruptured rudimentary horn and same-sided tuba uterina were surgically removed.Conclusion: Rudimentary horn pregnancy is a rare ectopic pregnancy. Diagnosis is difficult clinically, even with diagnostic imaging modalities. Identifying both cornuas systematically in all patients increases the detection rate. The absence of continuity between the gestational sac’s lumen and the cervical canal on imaging is an important finding. Due to the serious maternal and fetal complications, its detection at an early week may be life-saving.

scholarly journals Ruptured rudimentary horn pregnancy: a case report

2020 ◽  
Vol 9 (3) ◽  
pp. 1271
Author(s):  
Gopika Venugopal ◽  
Soumya Patil ◽  
Nandish S. Manoli ◽  
Pratap T. ◽  
Hemapriya . ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
European Society ◽  
Congenital Malformations ◽  
Human Reproduction ◽  
Blood Products ◽  
Rare Form ◽  
Rudimentary Horn ◽  
Uterine Anomalies ◽  
Mullerian Ducts

Uterine anomalies are congenital malformations arising due to embryological mal-development of mullerian ducts. The European society of Human Reproduction and Embryology (ESHRE) classifies these anomalies into 6 classes. Hemi-uterus is one such class of formation defect of mullerian duct with unilateral uterine development; the contralateral part could be either incompletely formed or absent. In a rare form of ectopic pregnancy, implantation can occur in the cavity of a rudimentary horn of the hemi-uterus. Authors report a case of 22-year G2P1L1 with 12 weeks gestation who presented with acute abdomen. Ultrasound showed hemoperitoneum with suspicion of ectopic pregnancy. Laparotomy confirmed the diagnosis of ruptured right rudimentary horn with fetus and placenta in the peritoneal cavity. Immediate laparotomy and excision of the horn with transfusion of blood and blood products saved the patient in the nick of time.

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