Pregnancy in a Non-Communicating Rudimentary Horn - Medical Emergency and A Near Miss
Keywords:
Rudimentary Horn, Acute abdomenAbstract
Rudimentary horn is a life-threatening entity with a 50% risk of uterine rupture. It usually ruptures during the first or second trimester of pregnancy resulting in major obstetrical catastrophe. We report this case because of rarity of pregnancy in rudimentary horn and even rarer having presented in a woman with previous four normal deliveries.
Downloads
References
Lai YJ et al Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: Prerupture diagnosis and managementin Taiwan J Obstet Gynecol. 2016 Aug;55(4):604-6.
Heinonen PK. Unicornuate uterus and rudimentary horn. Fertilsteril. 1997;
Lesley L. Breech et al in Surgery for anomalies of the mullerian ducts in TeLinde's Operative Gynecology11 /e th 2015:505-10 ©wolters Kluwer
The American Fertility Society classifications of adnexal adhesions,distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mulerian anomalies and intrauterine adhesions. FertilSteril 1988;49:944
Thakur S, Sood A, Sharma C. Ruptured Noncommunicating Rudimentary Horn Pregnancy at 19 Weeks with Previous Cesarean Delivery: A Case Report. Case Reports in Obstetrics and Gynecology. 2012;2012: 308476. doi:10.1155/2012/308476.
Nahum GG. Rudimentary uterine horn pregnancy: the 20th-century worldwide experience of 588 cases. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 2002;47(2):151–163.
Okonta PI, Abedi H, Ajuyah C, Omo-Aghoja L. Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: a case report. Cases Journal. 2009;2:6624. doi:10.1186/1757-1626-2-6624.
O'Leary JL, O'Leary JA. Rudimentary horn pregnancy. Obstet Gynecol. 1963;22:371Goel P, Aggarwal A, Devi K, et al. Unicornuate uterus with non-communicating rudimentary horn: different clinical presentations. J ObstetGynecolIndia. 2005;55:155–158.
Chopra S, Keepanasseril A, Rohilla M, Bagga R, Kalra J, Jain V. Obstetric morbidity and the diagnostic dilemma in pregnancy in rudimentary horn: retrospective analysis. Archives of Gynecology and Obstetrics. 2009;280(6):907–910
Jayasinghe Y, Rane A, Stalewski H, Grover S. The presentation and early diagnosis of the rudimentary uterine horn. Obstetrics and Gynecology. 2005;105(6) :1456–1467.
Feteh VF, Dimala CA, Njim T, Fuka B. Post term pregnancy in a non-communicating rudimentary horn of a unicornuate uterus. BMC Research Notes. 2016;9:209. doi:10.1186/s13104-016-2013-7.
Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimentary horn pregnancy: first-trimester prerupturesonographic diagnosis and confirmation by magnetic resonance imaging. J Ultrasound Med. 2005;24:219–223.
Cheng C, Tang W, Zhang L, et al. Unruptured pregnancy in a noncommunicating rudimentary horn at 37 weeks with a live fetus: a case report. Journal of Biomedical R R e s e a r c h . 2 0 1 5 ; 2 9 ( 1 ) : 8 3 - 8 6 . d o i : 1 0 . 7 5 5 5 /JBR.29.20130089.