Rudimentary horn pregnancy
- Authors: Sulima A.N.1, Kucherenko Y.A.1, Nikolaeva Y.I.1
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Affiliations:
- Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University
- Issue: No 7 (2024)
- Pages: 166-170
- Section: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/635312
- DOI: https://doi.org/10.18565/aig.2024.55
- ID: 635312
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Abstract
Background: Rudimentary horn pregnancy (RHP) is a rare form of ectopic pregnancy that occurs in women who have abnormalities in the development, growth, and fusion of the Müllerian paramesonephric ducts. RHP can result in lethal outcome if the uterus ruptures and hemoperitoneum develops. Despite the modern level of providing healthcare, there is still a high likelihood of late diagnosing RHP due to the difficulty in making the diagnosis prior to pregnancy.
Case report: A 33-year-old patient M. underwent emergency surgery for a missed miscarriage in the rudimentary uterine horn at 6 weeks’ gestation. Laparoscopy was used to remove the rudimentary horn with pregnancy. After treatment, the patient was discharged from the hospital in satisfactory condition.
Conclusion: MRI, 3D ultrasound, hysterosalpingography and hysteroscopy are recommended to accurately diagnose the unicornuate uterus with rudimentary horn. Given the difficulties of differentiation, especially in ectopic pregnancy in the early stage, there is a need to increase the use of MRI, which will definitely facilitate a better and more timely diagnosis and qualified care.
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About the authors
Anna N. Sulima
Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University
Author for correspondence.
Email: gsulima@yandex.ru
ORCID iD: 0000-0002-2671-6985
Dr. Med. Sci., Professor, Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1
Russian Federation, SimferopolYuriy A. Kucherenko
Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University
Email: dmfkucherenko@mail.ru
ORCID iD: 0000-0002-8311-4446
PhD, Associate Professor, Associate Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1
Russian Federation, SimferopolYelizaveta I. Nikolaeva
Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University
Email: yelizavetakaraseva19@gmail.com
ORCID iD: 0000-0002-7316-1062
Resident physician at the Department of Obstetrics, Gynecology and Perinatology No. 1
Russian Federation, SimferopolReferences
- Рыбалка А.Н., ред. Внематочная беременность. Учебное пособие для врачей и студентов высших медицинских учебных заведений. Симферополь; 2021. 160 с. [Rybalka A.N., ed. Ectopic pregnancy. A textbook for doctors and students of higher medical educational institutions. Simferopol; 2021. 160 p. (in Russian)].
- Сулима А.Н., Рыбалка А.Н., Баскаков П.Н., Коробов С.А., Хмара П.Г. Беременность в рудиментарном роге матки: два клинических случая успешного органосохраняющего лечения. Таврический медико-биологический вестник. 2018; 21(1): 162-6. [Sulima A.N., Rybalka A.N., Baskakov P.N., Korobov S.A., Khmara P.G. Pregnancy in the rudimental uterine horn: two clinical cases of successful treatment. Tauride Medical and Biological Bulletin. 2018; 21(1): 162-6. (in Russian)].
- Стрижаков А.Н., Оленев А.С., Латышкевич О.А., Богомазова И.М., Тимохина Е.В., Игнатко И.В., Белоусова В.С., Ибрагимова С.М., Афанасьева Н.В., Рябова С.Г. Эктопическая беременность в рудиментарном роге матки. Акушерство и гинекология. 2021; 5: 212-8. [Strizhakov A.N., Olenev A.S., Latyshkevich O.A., Bogomazova I.M., Timokhina E.V., Ignatko I.V., Belousova V.S., Ibragimova S.M., Afanasyeva N.V., Ryabova S.G. Ectopic pregnancy in the rudimentary uterine horn. Obstetrics and Gynecology. 2021; (5): 212-8. (in Russian)]. https://dx.doi.org/10.18565/ aig.2021.5.212-218.
- Сулима А.Н., Румянцева З.С., Кучеренко Ю.А., Дижа М.А., Николаева Е.И. Беременность в рудиментарном роге матки (обзор литературы). Сибирский научный медицинский журнал. 2024; 44(1): 139-46. [Sulima A.N., Rumyantseva Z.S., Kucherenko Yu.A., Dizha M.A., Nikolaeva E.I. Pregnancy in the uterus rudimentary horn (literature review). Siberian Scientific Medical Journal. 2024; 44(1): 139-46. (in Russian)]. https://dx.doi.org/10.18699/SSMJ20240114.
- Sanchez-Ferrer M.L., Prieto-Sanchez M.T., Sanchez Del Campo F. Variations in clinical presentation of unicornuate uterus with non-communicating rudimentary horn (class IIB of the American Fertility Society classification). Taiwan J. Obstet. Gynecol. 2018; 57(1): 110-4. https://dx.doi.org/10.1016/ j.tjog.2017.12.018.
- Ma Y.C., Law K.S. Pregnancy in a non-communicating rudimentary horn of unicornuate uterus. Diagnostics (Basel). 2022; 21: 12(3): 759. https:// dx.doi.org/10.3390/diagnostics12030759.
- Jiang Y., Zhong Y., Dong L., Zhan L., Li P., Guo F., Huang Z. Diagnosis and management of non-communicating rudimentary horn pregnancy. Ginekol. Pol. 2022; 24. https://dx.doi.org/10.5603/GP.a2021.0168.
- Delic R. Pregnancy in a uterus with non-ccmmunicating pudimentary horn: diagnostic and therapeutic challenges. Acta Med. Litu. 2020; 27(2): 84-9. https://dx.doi.org/10.15388/Amed.2020.27.2.6.
- Yassin A., Munaza S., Mohammed A. Tale of rudimentary horn pregnancy: case reports and literature review. J. Matern. Fetal Neonatal Med. 2019; 32(4): 671-6. https://dx.doi.org/10.1080/14767058.2017.1387533.
- Agachac E., Peker N., Yavuz M., Fındık F.M., Evsen M.S., Gül T. Rudimentary horn pregnancy - ten years of experience. Ginekol. Pol. 2020; 91(3): 117-22. https://dx.doi.org/10.5603/GP.2020.0027.
- Ueda M., Ota K., Takahashi T., Suzuki S., Suzuki D., Kyozuka H. et al. Successful pregnancy and term delivery after treatment of unicornuate uterus with non-communicating rudimentary horn pregnancy with local methotrexate injection followed by laparoscopic resection: a case report and literature review. BMC Pregnancy Childbirth. 2021; 21(1): 715. https://dx.doi.org/10.1186/s12884-021-04195-5.
- Brady P.C., Molina R.L., Muto M.G., Stapp B., Srouji S.S. Diagnosis and management of a heterotopic pregnancy and ruptured rudimentary uterine horn. Fertil. Res. Pract. 2018; 4: 6. https://dx.doi.org/10.1186/ s40738-018-0051-7.
- Anwari L. Prerupture diagnosis of a pregnant rudimentary uterine horn. Radiol. Case Rep. 2021; 16(4): 764-8. https://dx.doi.org/10.1016/ j.radcr.2021.01.029.
- Bhagavath B., Lindheim S.R. Surgical management of interstitial (cornual) ectopic pregnancy: many ways to peel an orange! Fertil. Steril. 2021; 115(5): 1193-4. https://dx.doi.org/10.1016/ j.fertnstert.2021.03.016.
- Kalampokas E., Giannis G., Kalampokas T., Vlahos N. Laparoscopic management of cornual ectopic pregnancy: A step-by-step approach. J. Hum. Reprod Sci. 2022; 15(3): 321-2. https://dx.doi.org/10.4103/jhrs.jhrs_30_22.
- Министерство здравоохранения Российской Федерации. Клинические рекомендации. Внематочная (эктопическая) беременность. М.; 2021. [Ministry of Health of the Russian Federation. Clinical guidelines. Ectopic pregnancy. Moscow; 2021. (in Russian)].