Ectopic pregnancy in the rudimentary uterine horn


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Abstract

Background. Disturbed ectopic pregnancy is one of the causes of massive obstetric hemorrhage and maternal mortality. Pregnancy in the rudimentary uterine horn is 1 case per 76,000-140,000pregnancies. Rudimentary uterine horn is an abnormality of the uterine structure and is formed due to incomplete fusion of the paramesonephric ducts. Case report. Patient S., 21 years old, was operated on for progressive ectopic pregnancy in the right rudimentary uterine horn at 19-20 weeks’ gestation. The patient Ch., 22 years old, was operated on for disturbed ectopic pregnancy in the right rudimentary uterine horn at 20-21 weeks’ gestation, which was complicated by the development of intraabdominal bleeding and hemorrhagic shock. In both cases, the additional horn with ipsilateral fallopian tube was removed. After treatment, both patients were discharged from hospital in a satisfactory condition. Conclusion. Ultrasound is ineffective in 74% of cases for the diagnosis of ectopic pregnancy in the rudimentary uterine horn, which creates the need for a more detailed examination, including magnetic resonance imaging. Diagnosis and removal of the rudimentary uterine horn before pregnancy will be able to prevent the development of life-threatening complications.

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About the authors

A. N Strizhakov

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: kafedra-agp@mail.ru
Dr. Med. Sci., Academician of the RAS, Professor, Head of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute 119991, Russia, Moscow, Trubetskaya str., 8-2

A. S Olenev

Moscow Department of Healthcare; City Clinical Hospital № 24 of Moscow Department of Healthcare; Peoples' Friendship University of Russia

Email: olenevas@zdrav.mos.ru
candidate of medical sciences, chief freelance specialist in obstetrics and gynecology of Moscow Department of Healthcare, Head of the branch "Perinatal center”, City Clinical Hospital № 24 of Moscow Department of Healthcare, Associate Professor of obstetrics and gynecology with the course of Perinatology of the Medical Institute of the Peoples' Friendship University of Russia 127287, Russia, Moscow, 4th Vyatsky lane, 39

O. A Latyshkevich

Center of family planning and reproduction of Moscow Department of Healthcare

Email: cpsr@zdrav.mos.ru
candidate of medical sciences, chief freelance specialist on reproductive health of Moscow Department of Healthcare, the chief physician 117209, Russia, Moscow, Sevastopolsky prospect, 24 A

I. M Bogomazova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: kafedra-agp@mail.ru
candidate of medical sciences, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute 119991, Russia, Moscow, Trubetskaya str., 8-2

E. V Timokhina

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: kafedra-agp@mail.ru
Dr. Med. Sci., Associate Professor, Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute 119991, Russia, Moscow, Trubetskaya str., 8-2

I. V Ignatko

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: kafedra-agp@mail.ru
Dr. Med. Sci., Corresponding Member of the RAS, Professor of the RAS, Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute 119991, Russia, Moscow, Trubetskaya str., 8-2

V. S Belousova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: kafedra-agp@mail.ru
candidate of medical sciences, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute 119991, Russia, Moscow, Trubetskaya str., 8-2

S. M Ibragimova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: kafedra-agp@mail.ru
associate assistant of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute 119991, Russia, Moscow, Trubetskaya str., 8-2

N. V Afanasyeva

City Clinical Hospital of S.S. Yudin of the Moscow Department of Healthcare

Email: gkb-yudina@zdrav.mos.ru
candidate of medical sciences, Head of the Family Reproductive Center 115446, Russia, Moscow, Kolomensky proezd, 4

S. G Ryabova

City Clinical Hospital of S.S. Yudin of the Moscow Department of Healthcare

Email: gkb-yudina@zdrav.mos.ru
Head of the Emergency Department of the Maternity Hospita 115446, Russia, Moscow, Kolomensky proezd, 4

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