Main Article Content
Abstract
BACKGROUND
Pregnancy in a non-communicating horn of the uterus is a very rare entity. Incidentally, we had 11 cases in the last 6 years presenting in various ways. In literature, cases presented on pregnancy in a non-communicating horn are not many. Hence we are analysing our cases. The objectives of our study were to diagnose and manage such cases at the earliest and sharing our experience to help for its early diagnosis and further management.
METHODS
Records of women diagnosed with ectopic pregnancy in the rudimentary horn, during the last 6 years, were reviewed for their diagnostic difficulties and the associated morbidity.
RESULTS
Cases diagnosed before laparotomy were 3, and cases diagnosed after laparotomy were 8. Amongst 8 cases, 2 were intact and the other 6 had already ruptured. Laparotomy with excision of rudimentary horn and salpingectomy was done in all cases.
CONCLUSIONS
Suspicion is the main tool for diagnosis. Its suspicion and clinical finding along with imaging technology are very important for its early diagnosis and management.
Keywords
Article Details
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References
- Kanagal DV, Hanumanalu LC. Ruptured rudimentary horn pregnancy at 25 weeks with previous vaginal delivery: a case report. Case Reports in Obstetrics and Gynecology 2012;2012:985076.
- Sunilkumar KS, Laxmi VY, Apurva A, et al. Ruptured rudimentary horn of the unicornuate uterus at 16 weeks of pregnancy: a case report. Int J Reprod Contracept Obstet Gynecol 2013;2(2):248-50.
- Gawandi PS, Jadhave C, Shinde MA, et al. Rupture of second trimester ectopic pregnancy in a non-communicating uterine horn. Journal of Evolution of Medical and Dental Sciences 2013;2(6):524-7.
- Kumari S, Gupta P, Jyoti, et al. A rare case of pregnancy in the rudimentary horn of unicornuate uterus (on table diagnosis): a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 2019;8(3):1190-2.
- Okonta PI, Abedi H, Ajuyah C, et al. Pregnancy in a non-communicating rudimentary horn of a unicornuate uterus: a case report. Cases Journal 2009;2:Art. No. 6624.
- Herchelroath D, Miller JL, Wang KC. Novel management of ectopic pregnancy in a non-communicating rudimentary horn of a unicornuate uterus. The Journal of The American Osteopathic Association 2018;118(9):623-6.
References
Kanagal DV, Hanumanalu LC. Ruptured rudimentary horn pregnancy at 25 weeks with previous vaginal delivery: a case report. Case Reports in Obstetrics and Gynecology 2012;2012:985076.
Sunilkumar KS, Laxmi VY, Apurva A, et al. Ruptured rudimentary horn of the unicornuate uterus at 16 weeks of pregnancy: a case report. Int J Reprod Contracept Obstet Gynecol 2013;2(2):248-50.
Gawandi PS, Jadhave C, Shinde MA, et al. Rupture of second trimester ectopic pregnancy in a non-communicating uterine horn. Journal of Evolution of Medical and Dental Sciences 2013;2(6):524-7.
Kumari S, Gupta P, Jyoti, et al. A rare case of pregnancy in the rudimentary horn of unicornuate uterus (on table diagnosis): a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 2019;8(3):1190-2.
Okonta PI, Abedi H, Ajuyah C, et al. Pregnancy in a non-communicating rudimentary horn of a unicornuate uterus: a case report. Cases Journal 2009;2:Art. No. 6624.
Herchelroath D, Miller JL, Wang KC. Novel management of ectopic pregnancy in a non-communicating rudimentary horn of a unicornuate uterus. The Journal of The American Osteopathic Association 2018;118(9):623-6.