DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171458

Pregnancy in non-communicating rudimentary horn

Ram Kanwar Deora, Preeti Chawla, Nikhila G. Shetty

Abstract


A 25-year old G3P2L2 presented to casuality of OBG Dept, Ummaid Hospital, Jodhpur with5 months amenorrhea and bleeding per vaginum for last 5 days associated with abdominal pain. On per abdomen examination, a mass arising from pelvis corresponding to the size of a 16 weeks pregnancy was seen. A repeat ultrasound was performed in our hospital and the findings were - normally visualised uterus with a gestational sac with thin myometrium rim seen on right side with single dead fetus of gestational age 14 weeks 3 days, pregnancy in rudimentary horn, bicornuate uterus with pregnancy in right horn. Patient was counselled and prepared for laparotomy which was performed under general anesthesia. Intra -operative findings were normal sized uterus, right sided rudimentary horn pregnancy was seen. Both tubes and ovaries were normal. Hence, right sided rudimentary horn excision along with ipsilateral salpingo – oophorectomy was planned and done by clamping and cutting. Hemostasis was achieved. There was no communication between the rudimentary horn and the main uterus. The estimated blood loss was 200ml.

Keywords


Mullerian duct, Rudimentary horn, Trans-peritoneal migration

Full Text:

PDF

References


Rackow BW, Arici A. Reproductive performance of women with mullerian anomalies. Curr Opin Obstet Gynecol. 2007;19(3):229-37.

Grimbizis GF, Camus M, Tarlatzis BC, Bontis JN, Devroey P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update. 2001;7:161-74.

Ural SH, Artal R. Third-trimester rudimentary horn pregnancy. A case report. J Reprod Med. 1998;37:919-21.

Nahum GG. Rudimentary uterine horn pregnancy. A case report on surviving twins delivered eight days apart. J Reprod Med. 1997;42:525-32.

Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimentary horn pregnancy: first-trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging. J Ultrasound Med. 2005;(2):219-23.

Edelman AB, Jensen JT, Lee DM, Nichols MD. Successful medical abortion of a Pregnancy within a noncommunicating rudimentary uterine horn. Am J Obstet Gynecol. 2003;189(3):886-7.