Laparoscopic management of ruptured non communicating rudimentary horn in second trimester of pregnancy
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Date
2019-08
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Rudimentary horn is a developmental anomaly of the uterus. Pregnancy in rudimentary horn is rare occurrence with incidence of less than 1 in 150,000. Prerupture diagnosis of rudimentary horn pregnancy with USG is technically difficult, with sensitivity of 30%. It is often not diagnosed unless it terminates by rupture in the second trimester leading to catastrophic haemorrhage and hence high incidence of maternal mortality. Management of such cases is a challenge till today due to diagnostic dilemma. Expertise in ultrasonography and early resort to surgical management is life saving in such cases. Here we present a case of ruptured non-communicating rudimentary horn pregnancy at 15 weeks presenting in our emergency department as a case of pain abdomen. Laparoscopic resection of the rudimentary horn was performed for the patient.
Description
Keywords
Noncommunicating, Pregnancy, Rudimentary, Rupture, Unicornuate
Citation
Jha Akriti, Gupta Richa, Gupta Lavesh, Gupta Deepesh. Laparoscopic management of ruptured non communicating rudimentary horn in second trimester of pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Aug; 8(8): 3391-3394