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Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea

Received: 7 September 2014     Accepted: 30 September 2014     Published: 10 October 2014
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Abstract

Pregnancy in a non-communicating rudimentary horn is an extremely rare usually resulting in rupture during second trimester of pregnancy. The standard treatment is excision of the pregnancy and rudimentary horn. We report a case of ruptured non-communicating rudimentary horn at 27 weeks in a woman with previous vaginal delivery. She presented to emergency with acute abdominal pain and massive hemoperitoneum. Excision of the rudimentary horn was done at laparotomy and the patient had an uneventful recovery.

Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 5)
DOI 10.11648/j.jgo.20140205.13
Page(s) 77-80
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Non-Communicating Rudimentary Uterine Horn, Pregnancy, Uterine Rupture, Placenta Increta

References
[1] Dasari P. Pre-rupture ultrasound diagnosis of rudimentary horn pregnancy. Biomed research 2007;18(3):185-87.
[2] Upadhyaya, I. Non-communicating rudimentary uterine horn pregnancy. Journal of the Nepal Medical Association, 2011;51(4).
[3] Heinonen, P. K., &Aro, P. Rupture of pregnant non communicating uterine horn with fetal salvage. European Journal of Obstetrics & Gynecology and Reproductive Biology, 1988;27(3): 261-265.
[4] Nahum GG. Rudimentary uterine horn pregnancy.The 20th century worldwide experience of 588 cases.J ReprodMed 2002; 47:151–163.
[5] Johansen K. Pregnancy in a rudimentary horn. ObstetGynecol 1983;61:565-7.
[6] Shinohara, A., A. Yamada, and A. Imai. "Rupture of noncommunicating rudimentary uterine horn at 27 weeks' gestation with neonatal and maternal survival." International Journal of Gynecology & Obstetrics 2005; 88(3): 316-317.
[7] Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimentary horn pregnancy: first trimester prerupturesonographic diagnosis and confirmation by magnetic resonance imaging. J Ultrasound Med 2005;24:219–23.
[8] Contreras, K. R., Rothenberg, J. M., Kominiarek, M. A., & Raff, G. J. Hand-assisted laparoscopic management of a midtrimester rudimentary horn pregnancy with placenta increta: a case report and literature review. Journal of minimally invasive gynecology, 2008;15:644-648.
[9] 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.
[10] Heinonen P. Unicornuate uterus and rudimentary horn. FertilSteril 1997;68:224–30.
[11] So¨nmezer M, Taskin S, Atabekoglu C, et al. Laparoscopic management of rudimentary uterine horn pregnancy: case report and literature review. JSLS. 2006;10:396–399.
[12] Edelman AB, Jensen JT, Lee DM, et al. Successful medical abortion of a pregnancy within a non-communicating uterine horn. Am J Obstet Gynecol. 2003;189:886–887.
[13] Cutner A, Saridogan E, Hart R, et al. Laparoscopic management of pregnancies occurring in a noncommunicating accessory uterine horns. Eur J Obstet Gynecol Reprod Biol. 2004;113:106–109.
Cite This Article
  • APA Style

    Moulay Elmehdi El Hassani, Houda Fagouri, Abdellah Babahabib, Hicham Bakkali, Jaouad Kouach, et al. (2014). Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea. Journal of Gynecology and Obstetrics, 2(5), 77-80. https://doi.org/10.11648/j.jgo.20140205.13

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    ACS Style

    Moulay Elmehdi El Hassani; Houda Fagouri; Abdellah Babahabib; Hicham Bakkali; Jaouad Kouach, et al. Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea. J. Gynecol. Obstet. 2014, 2(5), 77-80. doi: 10.11648/j.jgo.20140205.13

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    AMA Style

    Moulay Elmehdi El Hassani, Houda Fagouri, Abdellah Babahabib, Hicham Bakkali, Jaouad Kouach, et al. Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea. J Gynecol Obstet. 2014;2(5):77-80. doi: 10.11648/j.jgo.20140205.13

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  • @article{10.11648/j.jgo.20140205.13,
      author = {Moulay Elmehdi El Hassani and Houda Fagouri and Abdellah Babahabib and Hicham Bakkali and Jaouad Kouach and Driss Moussaoui Rahali and Mohamed Dehayni},
      title = {Rupture of Non-Communicating Rudimentary Pregnant Uterine Horn in a Pseudo-Unicornuate Uterus with Placenta Increta at 27 Weeks of Amenorrhea},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {5},
      pages = {77-80},
      doi = {10.11648/j.jgo.20140205.13},
      url = {https://doi.org/10.11648/j.jgo.20140205.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20140205.13},
      abstract = {Pregnancy in a non-communicating rudimentary horn is an extremely rare usually resulting in rupture during second trimester of pregnancy. The standard treatment is excision of the pregnancy and rudimentary horn. We report a case of ruptured non-communicating rudimentary horn at 27 weeks in a woman with previous vaginal delivery. She presented to emergency with acute abdominal pain and massive hemoperitoneum. Excision of the rudimentary horn was done at laparotomy and the patient had an uneventful recovery.},
     year = {2014}
    }
    

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    AU  - Moulay Elmehdi El Hassani
    AU  - Houda Fagouri
    AU  - Abdellah Babahabib
    AU  - Hicham Bakkali
    AU  - Jaouad Kouach
    AU  - Driss Moussaoui Rahali
    AU  - Mohamed Dehayni
    Y1  - 2014/10/10
    PY  - 2014
    N1  - https://doi.org/10.11648/j.jgo.20140205.13
    DO  - 10.11648/j.jgo.20140205.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20140205.13
    AB  - Pregnancy in a non-communicating rudimentary horn is an extremely rare usually resulting in rupture during second trimester of pregnancy. The standard treatment is excision of the pregnancy and rudimentary horn. We report a case of ruptured non-communicating rudimentary horn at 27 weeks in a woman with previous vaginal delivery. She presented to emergency with acute abdominal pain and massive hemoperitoneum. Excision of the rudimentary horn was done at laparotomy and the patient had an uneventful recovery.
    VL  - 2
    IS  - 5
    ER  - 

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Author Information
  • Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

  • Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

  • Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

  • Department of Anesthesia, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

  • Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

  • Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

  • Department of Obstetrics and Gynaecology, Military Hospital of Rabat, CHU Ibn Sina, Rabat, Morocco

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