Pregnancy in Non-Communicating Rudimentary Horn of A Unicornuate Uterus
نویسندگان
1 Pain Research Center, Iran University of Medical Science, Tehran, Iran;4Department of Anesthesiology, Zabol University of Medical Science, Zabol, Iran
2 Endometriosis and Gynecological Disorder Research Center, Iran University of Medical Science, Tehran, Iran;Department of Obstetrics and Gynecology, Zabol University of Medical Science, Zabol, Iran
3 Endometriosis and Gynecological Disorder Research Center, Iran University of Medical Science, Tehran, Iran
4 Department of Obstetrics and Gynecology, Zabol University of Medical Science, Zabol, Iran
doi
10.22074/ijfs.2018.5022چکیده
Diagnosis and management of pre-rupture stage of the pregnant horn are difficult and usually missed on a routine ul- trasound scan. Also most cases are detected after rupture of pregnant horn. We presented a 28-year-oldG2 L1 woman with diagnosis of rudimentary horn pregnancy (RHP) at 14 weeks of gestation. We diagnosed her with a normal intrauterine pregnancy, whereas a pregnancy in a right-sided non-communicating rudimentary horn with massive he- moperitoneum was later discovered on laparotomy. RHP has a high risk of death for mother, so there must be a strong clinical suspicion for the diagnosis of RHP. Although there is a major advancement in field of diagnostic ultrasound and other imaging modalities, prenatal diagnosis has remained elusive and a laparotomy surgery is considered as a definitive diagnosis.
