First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases

Pregnancy in a woman with unicornuate uterus with non-communicating uterine horn is a considerably rare condition with an incidence of one in 100.000 cases. Fertilization occurs by transperitoneal migration of sperm and, uterine rupture is a considerably frequent complication of those pregnancies. T...

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Main Authors: Derya Akdağ Cırık, Rıza Dur, Füsun Bocutoğlu, Nazife Kartal, Metin Kaplan, Metin Altay
Format: Article
Language:English
Published: Galenos Yayinevi 2016-09-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access:http://www.hasekidergisi.com/article_10996/First-Trimester-Ultrasonographic-Diagnosis-Of-Unruptured-Rudimentary-Horn-Pregnancies-In-Two-Cases
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author Derya Akdağ Cırık
Rıza Dur
Füsun Bocutoğlu
Nazife Kartal
Metin Kaplan
Metin Altay
author_facet Derya Akdağ Cırık
Rıza Dur
Füsun Bocutoğlu
Nazife Kartal
Metin Kaplan
Metin Altay
author_sort Derya Akdağ Cırık
collection DOAJ
description Pregnancy in a woman with unicornuate uterus with non-communicating uterine horn is a considerably rare condition with an incidence of one in 100.000 cases. Fertilization occurs by transperitoneal migration of sperm and, uterine rupture is a considerably frequent complication of those pregnancies. Therefore, early diagnosis is of great importance due to the potential risk of maternal mortality. Herein, we present two cases of rudimentary horn pregnancy diagnosed by ultrasonography in the first trimester, and treated with laparoscopic approach. These two patients attended the hospital in the sixth and twelfth gestational weeks respectively, and the first case was misdiagnosed with tubal ectopic pregnancy in the emergency unit. After detailed transvaginal ultrasonographic examination, a gestational sac separate from the uterus and surrounded by myometrium was seen and the final diagnosis was the rudimentary horn pregnancy. The diagnosis was also confirmed after laparoscopy in both cases, and the patients underwent excision of the rudimentary horn.
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spelling doaj.art-3f4721dc98db47e1a9892375106f33522023-02-15T16:15:53ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882016-09-0154317918210.4274/haseki.2890First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two CasesDerya Akdağ Cırık0Rıza Dur1Füsun Bocutoğlu2Nazife Kartal3Metin Kaplan4Metin Altay5Etlik Zübeyde Hanım Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, TurkeyEtlik Zübeyde Hanım Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, TurkeyEtlik Zübeyde Hanım Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, TurkeyEtlik Zübeyde Hanım Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, TurkeyEtlik Zübeyde Hanım Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, TurkeyEtlik Zübeyde Hanım Women’s Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, TurkeyPregnancy in a woman with unicornuate uterus with non-communicating uterine horn is a considerably rare condition with an incidence of one in 100.000 cases. Fertilization occurs by transperitoneal migration of sperm and, uterine rupture is a considerably frequent complication of those pregnancies. Therefore, early diagnosis is of great importance due to the potential risk of maternal mortality. Herein, we present two cases of rudimentary horn pregnancy diagnosed by ultrasonography in the first trimester, and treated with laparoscopic approach. These two patients attended the hospital in the sixth and twelfth gestational weeks respectively, and the first case was misdiagnosed with tubal ectopic pregnancy in the emergency unit. After detailed transvaginal ultrasonographic examination, a gestational sac separate from the uterus and surrounded by myometrium was seen and the final diagnosis was the rudimentary horn pregnancy. The diagnosis was also confirmed after laparoscopy in both cases, and the patients underwent excision of the rudimentary horn.http://www.hasekidergisi.com/article_10996/First-Trimester-Ultrasonographic-Diagnosis-Of-Unruptured-Rudimentary-Horn-Pregnancies-In-Two-CasesPregnancyrudimentary hornunicornuate uterusultrasonography
spellingShingle Derya Akdağ Cırık
Rıza Dur
Füsun Bocutoğlu
Nazife Kartal
Metin Kaplan
Metin Altay
First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases
Haseki Tıp Bülteni
Pregnancy
rudimentary horn
unicornuate uterus
ultrasonography
title First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases
title_full First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases
title_fullStr First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases
title_full_unstemmed First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases
title_short First Trimester Ultrasonographic Diagnosis of Unruptured Rudimentary Horn Pregnancies in Two Cases
title_sort first trimester ultrasonographic diagnosis of unruptured rudimentary horn pregnancies in two cases
topic Pregnancy
rudimentary horn
unicornuate uterus
ultrasonography
url http://www.hasekidergisi.com/article_10996/First-Trimester-Ultrasonographic-Diagnosis-Of-Unruptured-Rudimentary-Horn-Pregnancies-In-Two-Cases
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AT fusunbocutoglu firsttrimesterultrasonographicdiagnosisofunrupturedrudimentaryhornpregnanciesintwocases
AT nazifekartal firsttrimesterultrasonographicdiagnosisofunrupturedrudimentaryhornpregnanciesintwocases
AT metinkaplan firsttrimesterultrasonographicdiagnosisofunrupturedrudimentaryhornpregnanciesintwocases
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