Rupture of a rudimentary horn at 16 weeks of gestation

Yıl 2011, , 219 - 221, 01.06.2011

İlhan Bahri Delibaş Ünal İsaoğlu Mehmet Yılmaz Sedat Kadanalı

https://doi.org/10.5799/ahinjs.01.2011.02.0243

Öz

A patient with acute abdomen at 16th week of gestation underwent an emergency laparotomy. At laparotomy two litres of fibrinated and free blood and a dead fetus with placenta was detected intraabdominally. The right ovary and tube was normal and the uterus was normal in size. There was a ruptured and actively bleeding uterine horn on the left side of the uterus. The ruptured uterine horn was excised with the left tube by preserving the left ovary. The patient recovered without any complications

Anahtar Kelimeler

Rudimentary horn, pregnancy, rupture

Onaltıncı gebelik haftasında rudimenter horn rüptürü

Öz

Onaltıncı gebelik haftasında akut batın tablosu ile gelen hasta acil laparotomiye alındı. Laparotomide intraabdominal iki litre fibrine ve defibrine kan ve ölü bir fetus ile birlikte plasentası tesbit edildi. Sağ over ve tüp normal görünümde ve uterus normal boyutlardaydı. Uterusun solunda rupture ve aktif kanamalı uterin horn gözlendi. Rupture uterin horn sol over korunarak sol tüp ile birlikte eksize edildi. Hasta herhangi bir komplikasyon gelişmeden taburcu edildi.

Anahtar Kelimeler

Rudimenter horn, gebelik, yırtılma

Kaynakça

• The American Fertility Society. The American Fertility So- ciety classifications of adnexal adhesions, distal tubal oc- clusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, müllerian anomalies and intrauterine adhe- sions. Fertil Steril 1988;49 (6):944-55.
• Nahum GG. Uterine anomalies. How common are they, and what is their distribution among subtypes? J Reprod Med 1998;43 (10):877-87.
• Evsen M, Sak M.E., Bozkurt Y, Kapan M, Bakır C. Uterine rupture: Regional incidence, causes and treatment. Dicle Tıp Dergisi 2008; 35(4):260-4.
• Speroff L, Fritz M.A.Clinical Gynecologic Endocrinology and Infertility.7th edn. Philadelphia: Lippincott Williams & Wilkins, 2005:133.
• Goel P, Aggarwal A, Devi K, Takkar N, Saha PK, Huria A. Unicornuate uterus with non-communicating rudimentary horn. Different clinical presentations. J Obstet Gynecol In- dia 2005;55 (2):155-8.
• Panayotidis C, Abdel-Fattah M, Leggott M. Rupture of rudi- mentary uterine horn of a unicornuate uterus at 15 weeks’ gestation. J Obstet Gynaecol 2004; 24 (3):323-4.
• Jin Woo Shin, Hai Joong Kim. Case of live birth in a non- communicating rudimentary horn pregnancy. J Obstet Gy- naecol Res. 2005,31(4):329–31.
• O’Leary J. L. and O’Leary J. A Rudimentary horn pregnancy. Obstet Gynecol 1963; 22(3): 371-5.
• Kriplani A, Relan S, Mittal S, Buckshee K. Pre-rupture di- agnosis and management of rudimentary horn pregnancy in the first trimester. Eur J Obstet Gynecol Reprod Biol 1995;58 (2):203-5.
• Heinonen PK. Unicornuate uterus and rudimentary horn. Fertil Steril 1997;68 (2):224-30.