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A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture
, 1
Affiliations- Department of Obstetrics and Gynecology, Benha University, Benha, Egypt
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Abstract
Our aim is to feature the management of ectopic pregnancy in a non-communicating rudimentary horn. It has a remarkable
life-threatening potential, being rare and difficult to be considered during differential diagnosis of acute abdomen
or sudden maternal collapse in early pregnancy. Therefore, this is a report of mid-trimester triplet’s ectopic pregnancy
which presented with sudden repeated syncopal attacks and hemodynamic instability that necessitated emergency
laparotomy to treat ruptured non-communicating rudimentary horn. The rarity of this clinical condition can lead to
multiple challenges. When a diagnosis is confirmed, the intervention plans should be independently tailored based
on the patient’s age, obstetric history, fertility wishes, as well as, surgeon’s experience. Moreover, most cases passed
unnoticed till complications took place. Thus, early diagnosis of Mullerian anomalies preconceptionally or even during
the initial antenatal visits is crucial step regarding the avoidance of such catastrophic maternal outcomes.
Abstract
Our aim is to feature the management of ectopic pregnancy in a non-communicating rudimentary horn. It has a remarkable
life-threatening potential, being rare and difficult to be considered during differential diagnosis of acute abdomen
or sudden maternal collapse in early pregnancy. Therefore, this is a report of mid-trimester triplet’s ectopic pregnancy
which presented with sudden repeated syncopal attacks and hemodynamic instability that necessitated emergency
laparotomy to treat ruptured non-communicating rudimentary horn. The rarity of this clinical condition can lead to
multiple challenges. When a diagnosis is confirmed, the intervention plans should be independently tailored based
on the patient’s age, obstetric history, fertility wishes, as well as, surgeon’s experience. Moreover, most cases passed
unnoticed till complications took place. Thus, early diagnosis of Mullerian anomalies preconceptionally or even during
the initial antenatal visits is crucial step regarding the avoidance of such catastrophic maternal outcomes.
Keywords
second trimester; ectopic pregnancy; mullerian anomalies; rudimentary horn; unicornuate uterus
About this articleTitle
A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture
Journal
Issue
Article type
Clinical vignette
Pages
569-570
Published online
2020-09-30
Page views
594
Article views/downloads
735
DOI
Pubmed
Bibliographic record
Ginekol Pol 2020;91(9):569-570.
Keywords
second trimester
ectopic pregnancy
mullerian anomalies
rudimentary horn
unicornuate uterus
Authors
Wagdy M. Amer
Ahmed Altraigey
References (3)- Management of Acute Obstructive Uterovaginal Anomalies: ACOG Committee Opinion Summary, Number 779. Obstet Gynecol. 2019; 133(6): 1290–1291.
- Ludwin A, Lindheim SR. Unicornuate uterus and the noncommunicating functional horn: continued debate on the diagnosis, classification, and treatment. Fertil Steril. 2020; 113(4): 772–773.
- Obeidat RA, Aleshawi AJ, Tashtush NA, et al. Unicornuate uterus with a rudimentary non-communicating cavitary horn in association with VACTERL association: case report. BMC Womens Health. 2019; 19(1): 71.
