Current Issue

Volume 11, Number 4, Jan-Mar 2018 Pages: 318-320

Pregnancy in Non-Communicating Rudimentary Horn of A Unicornuate Uterus


Mania Kaveh, M.D, 1, 2, Abolfazl Mehdizadeh Kashi, M.D, 1, Kambiz Sadegi, M.D, 3, 4, Forough Forghani, M.D, 2, *,
Endometriosis and Gynecological Disorder Research Center, Iran University of Medical Science, Tehran, Iran
Department of Obstetrics and Gynecology, Zabol University of Medical Science, Zabol, Iran
Pain Research Center, Iran University of Medical Science, Tehran, Iran
Department of Anesthesiology, Zabol University of Medical Science, Zabol, Iran
*Corresponding Address: P.O.Box: 14977456367 Department of Obstetrics and Gynecology Amiralmomenin Hospital Zabol University of Medical Science Zabol Iran Email:forough-iran2005@yahoo.com

Abstract

Diagnosis and management of pre-rupture stage of the pregnant horn are difficult and usually missed on a routine ul- trasound scan. Also most cases are detected after rupture of pregnant horn. We presented a 28-year-oldG2 L1 woman with diagnosis of rudimentary horn pregnancy (RHP) at 14 weeks of gestation. We diagnosed her with a normal intrauterine pregnancy, whereas a pregnancy in a right-sided non-communicating rudimentary horn with massive he- moperitoneum was later discovered on laparotomy. RHP has a high risk of death for mother, so there must be a strong clinical suspicion for the diagnosis of RHP. Although there is a major advancement in field of diagnostic ultrasound and other imaging modalities, prenatal diagnosis has remained elusive and a laparotomy surgery is considered as a definitive diagnosis.