Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report
Rudimentary horn pregnancy has concerns due to the high incidence of an extreme risk of a life-threatening rupture. Thus, early diagnosis and management are essential to preserving the patient's life. We present a successful diagnosis and management of a prerupture rudimentary horn pregnancy in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-10-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332100515X |
| _version_ | 1818694060090589184 |
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| author | Sami Jomaa Afaf Ahmad Dema Adwan |
| author_facet | Sami Jomaa Afaf Ahmad Dema Adwan |
| author_sort | Sami Jomaa |
| collection | DOAJ |
| description | Rudimentary horn pregnancy has concerns due to the high incidence of an extreme risk of a life-threatening rupture. Thus, early diagnosis and management are essential to preserving the patient's life. We present a successful diagnosis and management of a prerupture rudimentary horn pregnancy in a 24-year-old woman presented with chronic pelvic pain and amenorrhea for the last 3 months. On physical examination, she had a mobile, nontender mass equals 16 weeks of gestation. Transvaginal ultrasound revealed an empty uterus with signs of a decidual reaction and a gestational sac adjacent to the uterus and surrounded by less than a 2 mm-in-thickness muscular wall with a positive fetal heart rate. The gestational age was 16 weeks based on biparietal diameter and femur length. Based on these findings rudimentary horn pregnancy was suspected. Laparotomy was performed, unicornuate uterus with unruptured, left rudimentary horn pregnancy was observed, and the pregnant horn with the ipsilateral tube was excised. To conclude, an empty uterus and extrauterine gestational sac surrounded by a thin muscular wall (<2 mm) on ultrasound should raise the suspicion of rudimentary horn pregnancy. |
| first_indexed | 2024-12-17T13:23:34Z |
| format | Article |
| id | doaj.art-8fa44dcd7faf408b83fd752050247842 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-17T13:23:34Z |
| publishDate | 2021-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-8fa44dcd7faf408b83fd7520502478422022-12-21T21:46:48ZengElsevierRadiology Case Reports1930-04332021-10-01161030683071Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case reportSami Jomaa0Afaf Ahmad1Dema Adwan2Faculty of Medicine, Damascus University, Damascus, 97009 Syria; Correspondence author.Faculty of Medicine, Damascus University, Damascus, 97009 SyriaDepartment of Emergency, University Hospital of Obstetrics and Gynecology, Damascus University, Damascus, 97009 Syria; Co-correspondence author.Rudimentary horn pregnancy has concerns due to the high incidence of an extreme risk of a life-threatening rupture. Thus, early diagnosis and management are essential to preserving the patient's life. We present a successful diagnosis and management of a prerupture rudimentary horn pregnancy in a 24-year-old woman presented with chronic pelvic pain and amenorrhea for the last 3 months. On physical examination, she had a mobile, nontender mass equals 16 weeks of gestation. Transvaginal ultrasound revealed an empty uterus with signs of a decidual reaction and a gestational sac adjacent to the uterus and surrounded by less than a 2 mm-in-thickness muscular wall with a positive fetal heart rate. The gestational age was 16 weeks based on biparietal diameter and femur length. Based on these findings rudimentary horn pregnancy was suspected. Laparotomy was performed, unicornuate uterus with unruptured, left rudimentary horn pregnancy was observed, and the pregnant horn with the ipsilateral tube was excised. To conclude, an empty uterus and extrauterine gestational sac surrounded by a thin muscular wall (<2 mm) on ultrasound should raise the suspicion of rudimentary horn pregnancy.http://www.sciencedirect.com/science/article/pii/S193004332100515XCornual pregnancyRudimentary horn pregnancyLaparotomyUnicornuate uterusMüllerian anomalies |
| spellingShingle | Sami Jomaa Afaf Ahmad Dema Adwan Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report Radiology Case Reports Cornual pregnancy Rudimentary horn pregnancy Laparotomy Unicornuate uterus Müllerian anomalies |
| title | Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report |
| title_full | Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report |
| title_fullStr | Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report |
| title_full_unstemmed | Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report |
| title_short | Successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester: a case report |
| title_sort | successful diagnosis and management of prerupture rudimentary horn pregnancy in the second trimester a case report |
| topic | Cornual pregnancy Rudimentary horn pregnancy Laparotomy Unicornuate uterus Müllerian anomalies |
| url | http://www.sciencedirect.com/science/article/pii/S193004332100515X |
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