Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report

Background: We present a rare case of a dichorionic-diamniotic twin pregnancy in a noncommunicating rudimentary uterine horn diagnosed prior to rupture at 12 weeks of gestation. Case: A 33-year-old woman with history of two prior spontaneous abortions presented with a spontaneously conceived dichori...

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Main Authors: Megan E. Ross, Stephen Scott, Kian Behbakht, Teresa Harper
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Case Reports in Women's Health
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911220300072
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author Megan E. Ross
Stephen Scott
Kian Behbakht
Teresa Harper
author_facet Megan E. Ross
Stephen Scott
Kian Behbakht
Teresa Harper
author_sort Megan E. Ross
collection DOAJ
description Background: We present a rare case of a dichorionic-diamniotic twin pregnancy in a noncommunicating rudimentary uterine horn diagnosed prior to rupture at 12 weeks of gestation. Case: A 33-year-old woman with history of two prior spontaneous abortions presented with a spontaneously conceived dichorionic-diamniotic twin pregnancy. Routine first-trimester screening ultrasound detected an extrauterine twin pregnancy. The patient was admitted for observation and treatment planning. Magnetic resonance imaging (MRI) of the pelvis led to the radiologic diagnosis of suspected abdominal ectopic pregnancy. Exploratory laparotomy led to an intraoperative diagnosis of twin pregnancy within a rudimentary uterine horn, which was removed without incident. Conclusion: This is a rare case of a twin pregnancy contained in a noncommunicating rudimentary uterine horn. The presence of this horn was not detected on ultrasonography or MRI. Keywords: Uterine horn, Mullerian anomaly, Ectopic pregnancy, Twin pregnancy, Ultrasound
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spelling doaj.art-c04ff38308b548d195aa94ade2e3b6f82022-12-21T18:44:28ZengElsevierCase Reports in Women's Health2214-91122020-04-0126Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case reportMegan E. Ross0Stephen Scott1Kian Behbakht2Teresa Harper3Corresponding author at: Address: 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045, USA.; University of Colorado School of Medicine, Department of Obstetrics and Gynecology, USAUniversity of Colorado School of Medicine, Department of Obstetrics and Gynecology, USAUniversity of Colorado School of Medicine, Department of Obstetrics and Gynecology, USAUniversity of Colorado School of Medicine, Department of Obstetrics and Gynecology, USABackground: We present a rare case of a dichorionic-diamniotic twin pregnancy in a noncommunicating rudimentary uterine horn diagnosed prior to rupture at 12 weeks of gestation. Case: A 33-year-old woman with history of two prior spontaneous abortions presented with a spontaneously conceived dichorionic-diamniotic twin pregnancy. Routine first-trimester screening ultrasound detected an extrauterine twin pregnancy. The patient was admitted for observation and treatment planning. Magnetic resonance imaging (MRI) of the pelvis led to the radiologic diagnosis of suspected abdominal ectopic pregnancy. Exploratory laparotomy led to an intraoperative diagnosis of twin pregnancy within a rudimentary uterine horn, which was removed without incident. Conclusion: This is a rare case of a twin pregnancy contained in a noncommunicating rudimentary uterine horn. The presence of this horn was not detected on ultrasonography or MRI. Keywords: Uterine horn, Mullerian anomaly, Ectopic pregnancy, Twin pregnancy, Ultrasoundhttp://www.sciencedirect.com/science/article/pii/S2214911220300072
spellingShingle Megan E. Ross
Stephen Scott
Kian Behbakht
Teresa Harper
Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
Case Reports in Women's Health
title Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
title_full Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
title_fullStr Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
title_full_unstemmed Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
title_short Spontaneous dichorionic-diamniotic twins in a noncommunicating uterine horn: A case report
title_sort spontaneous dichorionic diamniotic twins in a noncommunicating uterine horn a case report
url http://www.sciencedirect.com/science/article/pii/S2214911220300072
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