Laparoscopic excision of ruptured non-communicating rudimentary horn pregnancy

Abstract

Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in a non-communicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with prior vaginal delivery is difficult. It can be undiagnosed in routine ultrasound scan and in majority of cases it is detected after rupture. We report a case of G2 P1 with ruptured rudimentary horn pregnancy at 9 weeks of gestation which was misdiagnosed as tubal ectopic pregnancy.

Key words: non-communicating rudimentary horn pregnancy, laparoscopy, unicornuate uterus

Keywords

• non-communicating rudimentary horn pregnancy, laparoscopy, unicornuate uterus.

Rüptüre Non-Komminikan Rudimenter Horn Gebeliğinin Laparoskopik Eksizyonu

Öz

Rudimenter hornu olan unikornuat uterus mullerian kanalların birinin komplet olmayan gelişimi ve karşı taraf mullerian kanalın inkomplet füzyonu sonucu oluşur. Non-kommunike rudimenter hornda gebelik oldukça nadirdir ve genellikle birinci veya ikinci trimestırda rüptürle sonuçlanır. Daha önce vajinal doğum öyküsü olan bir kadında rüpture rudimenter horn gebeliğinin tanısı oldukça zordur. Rutin ultrasonografik değerlendirmede tanınamayabilir ve çoğunlukla tanı rüptür sonrası konulabilir. Bu vaka sunumunda; 24 yaşında, G2P1 olan ve ön tanısı tubal ektopik gebelik olan rüptüre rudimenter horn vakasını tartıştık.

Anahtar Kelimeler: non-komünike rudimenter horn gebeliği, laparoskopi, unikornuat uterus

Anahtar Kelimeler

• non-komünike rudimenter horn gebeliği, laparoskopi, unikornuat uterus.

Kaynakça

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