Ectopic pregnancy in the rudimentary uterine horn

2021 ◽  
Vol 5_2021 ◽  
pp. 212-218
Author(s):  
Strizhakov A.N. Strizhakov ◽  
Olenev A.S. Olenev ◽  
Latyshkevich O.A. Latyshkevich ◽  
Bogomazova I.M. Bogomazova I ◽  
Timokhina E.V. Timokhina ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Rudimentary Uterine Horn

Subsplenic ectopic pregnancy adjacent to a rudimentary uterine horn

2008 ◽  
Vol 102 (1) ◽  
pp. 78-79
Author(s):  
Alejandro Perez ◽  
Alberto J. Caban-Martinez ◽  
Wilfredo Alvarez ◽  
Emery M. Salom
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Rudimentary Uterine Horn

scholarly journals Successful management of a rudimentary uterine horn ectopic pregnancy by combining methotrexate and surgery: A case report

2019 ◽  
Vol 24 ◽  
pp. e00158
Author(s):  
Ângela Rodrigues ◽  
Ana Raquel Neves ◽  
Maria Geraldina Castro ◽  
Miguel Branco ◽  
Fernanda Geraldes ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Successful Management ◽  
Rudimentary Uterine Horn

scholarly journals Successful pregnancy and term delivery after treatment of unicornuate uterus with non-communicating rudimentary horn pregnancy with local methotrexate injection followed by laparoscopic resection: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Makiko Ueda ◽  
Kuniaki Ota ◽  
Toshifumi Takahashi ◽  
Satoshi Suzuki ◽  
Daisuke Suzuki ◽  
...  
Keyword(s):  
Blood Flow ◽  
Laparoscopic Surgery ◽  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Elective Cesarean Section ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Gestational Sac ◽  
The Right

Abstract Background Pregnancy in a rudimentary horn is an extremely rare type of ectopic pregnancy. A rudimentary uterine horn pregnancy is associated with a risk of spontaneous rupture and bleeding during surgery due to the increased uterine blood flow. Recent advances in imaging modalities have enabled laparoscopic surgery to be performed in cases without rupture in the early stages of pregnancy. However, there are few reports of successful pregnancies and deliveries after treatment of rudimentary horn pregnancies. We report the successful management of a case of non-communicating rudimentary horn pregnancy by local injection of methotrexate followed by complete laparoscopic excision along with a review of the literature. Case presentation The patient was a 29-year-old Japanese woman, gravida 2, nullipara. She was diagnosed with a left unicornuate uterus with a right non-communicating rudimentary horn on hysterosalpingography and magnetic resonance imaging. A gestational sac with a heartbeat was observed in the right rudimentary uterine horn at 6 weeks of gestation. A diagnosis of ectopic pregnancy in a non-communicating rudimentary horn was made. Color Doppler detected multiple blood flow signals around the gestational sac, which were clearly increased compared to the left unicornuate uterus. Her serum human chorionic gonadotropin level was 104,619 mIU/ml. A 100 mg methotrexate injection into the gestational sac was administered, and laparoscopic surgery was performed on day 48 after the methotrexate treatment. The right rudimentary horn and fallopian tube were successfully excised with minimal bleeding. A spontaneous normal pregnancy was established 6 months after the surgery. The pregnancy was uneventful, and a baby girl was born by elective cesarean section at 38w0d. Conclusion Combined local methotrexate injection and laparoscopic surgery are safe treatment options for patients with a unicornuate uterus with a non-communicating rudimentary horn pregnancy.

scholarly journals Diagnosis and laparoscopic management of a 5-week ectopic pregnancy in a rudimentary uterine horn: A case report

2019 ◽  
Vol 21 ◽  
pp. e00088
Author(s):  
F. Monacci ◽  
N. Lanfredini ◽  
S. Zandri ◽  
F. Strigini ◽  
C. Luchi ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Laparoscopic Management ◽  
Rudimentary Uterine Horn

scholarly journals Ruptured Rudimentary Uterine Horn Pregnancy: A Case Report

2021 ◽  
pp. 76-80
Author(s):  
Mohmmed Eltayeb Abdelkhalig Mustafa ◽  
Eltayeb Abdelkhalig Mustafa
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Maternity Hospital ◽  
Pregnancy Complication ◽  
Uterine Horn ◽  
Mullerian Anomalies ◽  
Müllerian Anomalies ◽  
Internal Bleeding ◽  
Rudimentary Uterine Horn

Pregnancy in rudimentary uterine horn has been reported to be very rare in literature, and is associated with adverse complications. Furthermore, it is also difficult to diagnose, and in most cases, is diagnosed after being ruptured. A case of ruptured rudimentary uterine horn pregnancy presented at Elsaudi Maternity Hospital (Sudan). Despite her recurrent presentation for persistent suprapubic pain and frequent ultrasound scans, the uterine horn pregnancy was not detected, and the diagnosis was made during laparotomy as her condition started to deteriorate progressively due to massive internal bleeding from the ruptured uterine horn. Keywords: rudimentary uterine horn pregnancy, ectopic pregnancy, Mullerian anomalies, early pregnancy complication

Unicornuate Uterus with NonCommunicating Non-Cavitated Rudimentary Uterine Horn: An Unusual Case with Adenomyosis Managed with Total Hysterectomy

2015 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Medical Treatment ◽  
Unusual Case ◽  
Uterine Bleeding ◽  
Uterine Horn ◽  
Rudimentary Horn ◽  
Total Hysterectomy ◽  
Unicornuate Uterus ◽  
Ultrasound Evaluation ◽  
Rudimentary Uterine Horn

A 45-year-old woman admitted to our hospital complaining of perimenopausal uterine bleeding not responding to medical treatment. Ultrasound evaluation revealed unicornuate uterus with adenomyosis and it was so difficult to see the distant small left rudimentary horn on ultrasound. The patient underwent laparotomy with total hysterectomy for both horns and was sent to pathologist that indicated adenomyosis and non-communicating non-cavitated left rudimentary horn.

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