Volume 2, Issue 5, September 2014, Page: 77-80
Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea
Moulay Elmehdi El Hassani, Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Houda Fagouri, Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Abdellah Babahabib, Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Hicham Bakkali, Department of Anesthesia, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Jaouad Kouach, Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Driss Moussaoui Rahali, Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Mohamed Dehayni, Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco
Received: Sep. 7, 2014;       Accepted: Sep. 30, 2014;       Published: Oct. 10, 2014
DOI: 10.11648/j.jgo.20140205.13      View  2750      Downloads  131
Abstract
Pregnancy in a non-communicating rudimentary horn is an extremely rare usually resulting in rupture during second trimester of pregnancy. The standard treatment is excision of the pregnancy and rudimentary horn. We report a case of ruptured non-communicating rudimentary horn at 27 weeks in a woman with previous vaginal delivery. She presented to emergency with acute abdominal pain and massive hemoperitoneum. Excision of the rudimentary horn was done at laparotomy and the patient had an uneventful recovery.
Keywords
Non-Communicating Rudimentary Uterine Horn, Pregnancy, Uterine Rupture, Placenta Increta
To cite this article
Moulay Elmehdi El Hassani, Houda Fagouri, Abdellah Babahabib, Hicham Bakkali, Jaouad Kouach, Driss Moussaoui Rahali, Mohamed Dehayni, Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea, Journal of Gynecology and Obstetrics. Vol. 2, No. 5, 2014, pp. 77-80. doi: 10.11648/j.jgo.20140205.13
Reference
[1]
Dasari P. Pre-rupture ultrasound diagnosis of rudimentary horn pregnancy. Biomed research 2007;18(3):185-87.
[2]
Upadhyaya, I. Non-communicating rudimentary uterine horn pregnancy. Journal of the Nepal Medical Association, 2011;51(4).
[3]
Heinonen, P. K., &Aro, P. Rupture of pregnant non communicating uterine horn with fetal salvage. European Journal of Obstetrics & Gynecology and Reproductive Biology, 1988;27(3): 261-265.
[4]
Nahum GG. Rudimentary uterine horn pregnancy.The 20th century worldwide experience of 588 cases.J ReprodMed 2002; 47:151–163.
[5]
Johansen K. Pregnancy in a rudimentary horn. ObstetGynecol 1983;61:565-7.
[6]
Shinohara, A., A. Yamada, and A. Imai. "Rupture of noncommunicating rudimentary uterine horn at 27 weeks' gestation with neonatal and maternal survival." International Journal of Gynecology & Obstetrics 2005; 88(3): 316-317.
[7]
Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimentary horn pregnancy: first trimester prerupturesonographic diagnosis and confirmation by magnetic resonance imaging. J Ultrasound Med 2005;24:219–23.
[8]
Contreras, K. R., Rothenberg, J. M., Kominiarek, M. A., & Raff, G. J. Hand-assisted laparoscopic management of a midtrimester rudimentary horn pregnancy with placenta increta: a case report and literature review. Journal of minimally invasive gynecology, 2008;15:644-648.
[9]
Henriet E, Roman H, Zanati J, Lebreton B, Sabourin JC, Loic M. Pregnant noncommunicating rudimentary uterine horn with placenta percreta. JSLS. 2008;12:101–3.
[10]
Heinonen P. Unicornuate uterus and rudimentary horn. FertilSteril 1997;68:224–30.
[11]
So¨nmezer M, Taskin S, Atabekoglu C, et al. Laparoscopic management of rudimentary uterine horn pregnancy: case report and literature review. JSLS. 2006;10:396–399.
[12]
Edelman AB, Jensen JT, Lee DM, et al. Successful medical abortion of a pregnancy within a non-communicating uterine horn. Am J Obstet Gynecol. 2003;189:886–887.
[13]
Cutner A, Saridogan E, Hart R, et al. Laparoscopic management of pregnancies occurring in a noncommunicating accessory uterine horns. Eur J Obstet Gynecol Reprod Biol. 2004;113:106–109.
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