Rudimentary horn pregnancy

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

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.

全文:

受限制的访问

作者简介

Anna Sulima

Medical Institute named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

编辑信件的主要联系方式.
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

俄罗斯联邦, Simferopol

Yuriy 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

俄罗斯联邦, Simferopol

Yelizaveta 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

俄罗斯联邦, Simferopol

参考

  1. 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)].
  2. 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)].
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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)].

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Ultrasound image of early incomplete abortion in the additional horn of the uterus in patient M. upon admission to a level III medical center

下载 (57KB)
索引源数据
3. Fig. 2. Laparoscopic picture of the stages of the operation in patient M.: A - left rudimentary horn of the uterus; B - picture after excision of the left rudimentary horn

下载 (132KB)
索引源数据

版权所有 © Bionika Media, 2024
##common.cookie##