Gebelikte Akut Batın Olgu Sunumu: Rüptüre Non-Komünikan Rudimenter Horn Gebeliği

Öz

Unikornuat uterusda rudimenter horn gebeliği oldukça nadir görülen bir klinik durumdur. Burada 15 haftalık rudimenter horn gebelik rüptürü olan hasta sunulmaktadır. Olguda batında yaygın hemoraji olması üzerine acil laparotomi yapıldı. Sağ rudimenter rüptüre horn eksize edildi ve ölü fetüs batından çıkarıldı. Postoperatif takiplerinde ek problemi olmayan hasta taburcu edildi. Rudimenter horn gebeliğinde; klinik şüphe, erken tanı ve uygun zamanlı laparotomi maternal mortalite ve morbiditeyi azaltabilir.

Anahtar Kelimeler

• Gebelik
• akut batın
• rudimenter horn

A Case Report with Acute Abdomen During Pregnancy: Ruptured Non-Communicating Rudimentary Horn Pregnancy

Öz

Rudimentary horn pregnancy is a very rare condition in unicornuate uterus. Here, we present a case with 15th week ruptured rudimentary horn pregnancy. The emergent laparotomy was performed as a result of intraabdominal hematoma. The right ruptured rudimentary horn was excised and ex fetus was removed with. There was no complication in postoperative period and she was discharged. Clinical suspicion, early diagnosis and laparotomy can reduce morbidity and mortality of ruptured rudimentary horn pregnancy.

Anahtar Kelimeler

• Pregnancy
• acute abdomen
• rudimentary horn

Kaynakça

1. Ural SH, Artal R: Third trimester rudimentary horn pregnancy. A case report. J Reprod Med 1998,37:919-21.
2. Nahum G: Rudimentary uterine horn pregnancy: case report on surviving twins delivered 8 days apart. J Reprod Med 1997,42:525-32.
3. Jayasinghe Y, Rane A, Stalewski H, Grover S. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynecol. 2005,105(6):1456-67.
4. Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril. 2009,91(5):1886-94.
5. J. L. O'leary and J. A. O'leary, “Rudimentary horn pregnancy,” Obstetrics and Gynecology, 1963,22:371–4.
6. Y. Jayasinghe, A. Rane, H. Stalewski, and S. Grover, “The presentation and early diagnosis of the rudimentary uterine horn,” Obstetrics and Gynecology, 2005,105(6):1456–67.
7. Henriet E, Roman H, Zanati J, Lebreton B, Sabourin JC, Loic M. Pregnant noncommunicating rudimentary uterine horn with placenta percreta. JSLS 2008;12:101-3.
8. Kahyaoğlu S, Turgay İ, Kaymak O, Kalyoncu Ş, Mollamahmutoğlu L. Onyedi Haftalık Nonkomünike Rudimenter Uterin Horn Gebeliği ve Uterin Rüptür: Olgu Sunumu. Perinatoloji Dergisi 2005;13(3):179-82.5-9.