open access

Vol 91, No 9 (2020)
CLINICAL VIGNETTES
Published online: 2020-09-30
Get Citation

A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture

Wagdy M. Amer, Ahmed Altraigey
DOI: 10.5603/GP.2020.0089
·
Pubmed: 33030738
·
Ginekol Pol 2020;91(9):569-570.

open access

Vol 91, No 9 (2020)
CLINICAL VIGNETTES
Published online: 2020-09-30

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.

Get Citation

Keywords

second trimester; ectopic pregnancy; mullerian anomalies; rudimentary horn; unicornuate uterus

About this article
Title

A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture

Journal

Ginekologia Polska

Issue

Vol 91, No 9 (2020)

Pages

569-570

Published online

2020-09-30

DOI

10.5603/GP.2020.0089

Pubmed

33030738

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)
  1. Management of Acute Obstructive Uterovaginal Anomalies: ACOG Committee Opinion Summary, Number 779. Obstet Gynecol. 2019; 133(6): 1290–1291.
  2. 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.
  3. 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.

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