Title: Ruptured Ectopic Pregnancy in Non-Commuicating Rudimentary Horn of Bicornuate Uterus- A Case report and Review of literature
Authors: Varsha Shrivastava, Vaibhav Vikas
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.82
Abstract
Pregnancy in a rudimentary horn of bicornuate uterus is an extremely rare form of ectopic gestation which occurs most commonly in a noncommunicating cavitary horn and ruptured form is even more rarer. The rudimentary horn may (as in majority of cases) or may not communicate with the uterine cavity. We report one such rare case of ruptured pregnancy of non communicating rudimentary horn of bicornuate uterus in a young multiparous female. Diagnosis was made after laparotomy was performed for ruptured ectopic pregnancy. Excision of the rudimentary horn with ipsilateral salpingectomy was done.
Keywords- Bicornuate/Unicornuate uterus, Rudimentary Horn, Communicating/noncommunicating
References
1. Reichman D, Laufer MR, Robinson BK. Pregnancy outcomes in unicornuate uteri: a review. Fertil Steril 2009;91:1886-94.
2. O'Leary JL, O'Leary JA. Rudimentary horn pregnancy. Obstet Gynecol 1963;22:371-5.
3. Elsayegh A, Nwosu EC. Rupture of pregn-ancy in the communicating rudimentary uterine horn at 34 weeks.Human Reprod. 1998; 13 (12) : 3566-68. 52.
4. Tsafrir A, Rojansky N, Sela HY, GomoriJm, Nadjari M. Rudimentry horn pregnancy. First trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging.J Ultrasound Med 2005;24:219-23.
5. Jain R,Gami N,Puri M, Trivedi SS.A rare case of intact rudimentary horn pregnancy presenting as haemoperitoneum.J Hum Reprod Sci 2010;3(2):113- 115.
6. Henriet E, Roman H, Zanati J,Lebreton B, Sabourin JC Loic M.Pregnant noncomm-unicating rudimentary uterine horn with placenta percreta. Journal of the Society of Laproendoscopic Surgeons 2008;12:101-103.
7. Mauriceau F. Traite des maladies des femmes Grosses vol. 1, Compaigne des libraries, Paris, France, 1721.4.
8. Nahum GG. Rudimentary uterine horn pregnancy. The 20th-century worldwide experience of 588 cases. J Reprod Med 2002;47:151-63.
9. Shin JW, Kim HJ. Case of live birth in a non-communicating rudimentary horn pregnancy. J Obstet Gynaecol Res 2005;31:329-31.
10. B. P. Lawhon, J. R.Wax, and R. T. Dufort, “Rudimentary uterine horn pregnancy diagnosed with magnetic resonance imaging,” Obstetrics and Gynecology, vol. 91, no. 5, p. 869, 1998.
11. Jayasinghe Y, Rane A, Stalewski H, Grover S. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynecol 2005;105:1456-67.
12. F. Bahadori, S. Borna, T. Behroozlak, S. Hoseini, and H. Ayatollahi, “Failed induction in second trimester due to pregnancy in an uncommunicated rudimentary horn: case report,” Journal of Family and Reproductive Health, vol. 3, no. 3, pp. 95–97, 2009.
13. Lawhon BP, Wax JR, Dufort RT. Rudimentary uterine horn pregnancy diagnosed with magnetic resonance imaging. Obstet Gynecol 1998;91 (5 Pt 2):869.
14. T. A. Samuels and A. Awonuga, “Second-trimester rudimentary uterine horn pregnancy: rupture after labor induction with misoprostol,” Obstetrics and Gynecology, vol. 106, no. 5, pp. 1160–1162, 2005.
Vaibhav Vikas
Government Medical College, Thiruvananthapuram, Kerala, India