Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: Prerupture diagnosis and management
| Autor: | Chen-Hsien Lin, Wen-Chien Hou, Mu-Hsien Yu, Her-Young Su, Kwei-Shuai Hwang, Yu-Ju Lai |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
prenatal ultrasound
medicine.medical_specialty prenatal magnetic resonance imaging medicine.medical_treatment Pregnancy Cornual lcsh:Gynecology and obstetrics Ultrasonography Prenatal Young Adult rudimentary horn pregnancy 03 medical and health sciences 0302 clinical medicine Uterine Rupture Pregnancy Laparotomy Obstetrics and Gynaecology medicine Humans 030212 general & internal medicine Laparoscopy lcsh:RG1-991 030219 obstetrics & reproductive medicine medicine.diagnostic_test Ectopic pregnancy business.industry Obstetrics Uterus Disease Management Obstetrics and Gynecology Unicornuate uterus medicine.disease Magnetic Resonance Imaging Surgery Uterine rupture Early Diagnosis medicine.anatomical_structure Urogenital Abnormalities ectopic pregnancy Gestation Female business Fallopian tube |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 55, Iss 4, Pp 604-606 (2016) |
| ISSN: | 1028-4559 |
| DOI: | 10.1016/j.tjog.2016.06.009 |
| Popis: | Objective The estimated incidence of rudimentary horn pregnancy is one in 76,000. It is a life-threatening entity with a 50% risk of uterine rupture. With advances in prenatal ultrasound in recent decades, there may be an opportunity to detect rudimentary horn pregnancy earlier, resulting in a lower incidence of maternal morbidity and mortality. Management is typically resection of the rudimentary horn and the ipsilateral fallopian tube by either laparotomy or laparoscopy. Case Report Here, we present the case of a 22-year-old woman with a suspected ectopic pregnancy of 12 weeks' gestation. Ultrasound and magnetic resonance imaging were performed as preoperative evaluations. A definitive diagnosis was made during laparotomy, and resection of the rudimentary horn pregnancy was performed. Conclusion Diagnosis and management of rudimentary horn pregnancy remain a challenge. We should be alert to prenatal ultrasound with the intention of making an earlier diagnosis, thereby resulting in decreased maternal morbidity and mortality. |
| Databáze: | OpenAIRE |
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