Rudimentary horn pregnancy
Sulima A.N., Kucherenko Yu.A., Nikolaeva Ye.I.
Background: Rudimentary horn pregnancy (RHP) is a rare form of ectopic pregnancy that occurs in women who have abnormalities in the development, growth, and fusion of the Müllerian paramesonephric ducts. RHP can result in lethal outcome if the uterus ruptures and hemoperitoneum develops. Despite the modern level of providing healthcare, there is still a high likelihood of late diagnosing RHP due to the difficulty in making the diagnosis prior to pregnancy.
Case report: A 33-year-old patient M. underwent emergency surgery for a missed miscarriage in the rudimentary uterine horn at 6 weeks’ gestation. Laparoscopy was used to remove the rudimentary horn with pregnancy. After treatment, the patient was discharged from the hospital in satisfactory condition.
Conclusion: MRI, 3D ultrasound, hysterosalpingography and hysteroscopy are recommended to accurately diagnose the unicornuate uterus with rudimentary horn. Given the difficulties of differentiation, especially in ectopic pregnancy in the early stage, there is a need to increase the use of MRI, which will definitely facilitate a better and more timely diagnosis and qualified care.
Authors’ contributions: Sulima A.N., Kucherenko Yu.A. – developing the concept and design of the study; Nikolaeva Ye.I. – collecting and processing the material, writing the text; Sulima A.N. – editing the text.
Conflicts of interest: Authors declare lack of the possible conflicts of interests.
Funding: The study was conducted without sponsorship. None of the authors has any financial interest in the materials or methods presented.
Patient Consent for Publication: The patient provided an informed consent for the publication of her data and associated images.
For citation: Sulima A.N., Kucherenko Yu.A., Nikolaeva Ye.I. Rudimentary horn pregnancy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (7): 166-170 (in Russian)
https://dx.doi.org/10.18565/aig.2024.55
Keywords
ectopic pregnancy
rudimentary horn
clinical case
diagnosis
tactics
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Received 15.03.2024
Accepted 25.06.2024
About the Authors
Anna N. Sulima, Dr. Med. Sci., Professor, Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, Medical Institute named after S.I. Georgievsky,V.I. Vernadsky Crimean Federal University, 295051, Russia, Republic of Crimea, Simferopol, Lenin blvd., 5/7, +7(978)764-82-00, gsulima@yandex.ru,
https://orcid.org/0000-0002-2671-6985
Yuriy A. Kucherenko, PhD, Associate Professor, Associate Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, Medical Institute
named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University, 295051, Russia, Republic of Crimea, Simferopol, Lenin blvd., 5/7, +7(978)867-75-60, dmfkucherenko@mail.ru, https://orcid.org/0000-0002-8311-4446
Yelizaveta I. Nikolaeva, Resident physician at the Department of Obstetrics, Gynecology and Perinatology No. 1, Medical Institute named after S.I. Georgievsky,
V.I. Vernadsky Crimean Federal University, 295051, Russia, Republic of Crimea, Simferopol, Lenin blvd., 5/7, +7(978)860-51-88, yelizavetakaraseva19@gmail.com,
https://orcid.org/0000-0002-7316-1062
Corresponding author: Anna N. Sulima, gsulima@yandex.ru
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