Rupture of Non-communicating Rudimentary Horn of Uterus at 12 Weeks’ Gestation - INRAE - Institut national de recherche pour l’agriculture, l’alimentation et l’environnement Access content directly
Journal Articles (Review Article) Cureus Journal of Medical Science Year : 2020

Rupture of Non-communicating Rudimentary Horn of Uterus at 12 Weeks’ Gestation

Abstract

The rudimentary horn of uterus is an extremely rare malformation and potentially serious obstetric entity, threatening maternal and fetal outcome. Diagnostic sonography of early pregnancy in a non-communicating rudimentary horn is difficult but important. We report a case of ruptured non-communicating rudimentary horn with unicornuate uterus at 12 weeks’ gestation, where diagnosis is made before surgery. Excision of the rudimentary horn and ipsilateral salpingectomy (to prevent a further ectopic tubal gestation), conserving the ovary, is the recommended surgical procedure for patients desiring to maintain their fertility potential. The subsequent obstetric prognosis is reassuring. Diagnostic imaging examinations of the reproductive system after this treatment showed no negative effect from surgery on subsequent fertility and there was no reported case of uterine rupture during subsequent pregnancy in the remaining unicornuate uterus after rudimentary horn excision. Future pregnancies will require extremely close monitoring and a caesarean section is highly recommended.
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hal-03531865 , version 1 (18-01-2022)

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Mariette Bruand, Thibault Thubert, Norbert Winer, Pauline Gueudry, Vincent Dochez. Rupture of Non-communicating Rudimentary Horn of Uterus at 12 Weeks’ Gestation. Cureus Journal of Medical Science, 2020, 12 (3), pp.1-5. ⟨10.7759/cureus.7191⟩. ⟨hal-03531865⟩

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