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Diagnosis and management of non-communicating rudimentary horn pregnancy
Affiliations- Department of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, East Lake High-Tech Development Zone, Wuhan, China
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Abstract
Objectives: Non-communicating rudimentary horn pregnancy is a rare condition associated with serious complications
and consequences.
Material and methods: We reported a case of a 44-day non-communicating rudimentary horn pregnancy who was
diagnosed by three-dimensional ultrasound (3D-US) and pelvic magnetic resonance imaging (MRI), followed by treatmentvia laparoscopic resection.
Results: The 3D-US and pelvic MRI scan showed a consistent result. Serious complications and consequences were
avoided. Postoperative diagnosis showed that the malformation was classified as type IIc.
Conclusions: For such diagnosis as a unicornuate uterus with a rudimentary horn, if there are no symptoms, it cannot be treated. Once pregnancy is in the rudimentary horn, 3D-US or MRI should be conducted to determine the implantation
location of the pregnancy capsule and the operation should be performed as soon as possible to avoid uterine rupture.
Laparoscopic surgery can be chosen in the early stage.
Abstract
Objectives: Non-communicating rudimentary horn pregnancy is a rare condition associated with serious complications
and consequences.
Material and methods: We reported a case of a 44-day non-communicating rudimentary horn pregnancy who was
diagnosed by three-dimensional ultrasound (3D-US) and pelvic magnetic resonance imaging (MRI), followed by treatmentvia laparoscopic resection.
Results: The 3D-US and pelvic MRI scan showed a consistent result. Serious complications and consequences were
avoided. Postoperative diagnosis showed that the malformation was classified as type IIc.
Conclusions: For such diagnosis as a unicornuate uterus with a rudimentary horn, if there are no symptoms, it cannot be treated. Once pregnancy is in the rudimentary horn, 3D-US or MRI should be conducted to determine the implantation
location of the pregnancy capsule and the operation should be performed as soon as possible to avoid uterine rupture.
Laparoscopic surgery can be chosen in the early stage.
Keywords
laparoscopy; non-communicating rudimentary horn pregnancy; three-dimensional ultrasound
About this articleTitle
Diagnosis and management of non-communicating rudimentary horn pregnancy
Journal
Issue
Article type
Research paper
Pages
662-664
Published online
2021-11-23
Page views
4418
Article views/downloads
387
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(8):662-664.
Keywords
laparoscopy
non-communicating rudimentary horn pregnancy
three-dimensional ultrasound
Authors
Yan Jiang
Yajuan Zhong
Lan Dong
Lili Zhan
Panpan Li
Fengqin Guo
Zhixin Huang
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