Ectopic pregnancy in the rudimentary uterine horn

DOI

https://dx.doi.org/10.18565/aig.2021.5.212-218

Strizhakov A.N., Olenev A.S., Latyshkevich O.A., Bogomazova I.M., Timokhina E.V., Ignatko I.V., Belousova V.S., Ibragimova S.M., Afanasyeva N.V., Ryabova S.G.
1) I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 2) City Clinical Hospital Twenty-Four, Moscow Healthcare Department, Moscow, Russia; 3) Center for Family Planning and Reproduction, Moscow Healthcare Department, Moscow, Russia; 4) S.S. Yudin City Clinical Hospital, Moscow Healthcare Department, Moscow, Russia

Background. Disturbed ectopic pregnancy is one of the causes of massive obstetric hemorrhage and maternal mortality. Pregnancy in the rudimentary uterine horn is 1 case per 76,000–140,000 pregnancies. Rudimentary uterine horn is an abnormality of the uterine structure and is formed due to incomplete fusion of the paramesonephric ducts.
Case report. Patient S., 21 years old, was operated on for progressive ectopic pregnancy in the right rudimentary uterine horn at 19–20 weeks’ gestation. The patient Ch., 22 years old, was operated on for disturbed ectopic pregnancy in the right rudimentary uterine horn at 20–21 weeks’ gestation, which was complicated by the development of intraabdominal bleeding and hemorrhagic shock. In both cases, the additional horn with ipsilateral fallopian tube was removed. After treatment, both patients were discharged from hospital in a satisfactory condition.
Conclusion. Ultrasound is ineffective in 74% of cases for the diagnosis of ectopic pregnancy in the rudimentary uterine horn, which creates the need for a more detailed examination, including magnetic resonance imaging. Diagnosis and removal of the rudimentary uterine horn before pregnancy will be able to prevent the development of life-threatening complications.

ectopic pregnancy

abnormalities of the uterine structure

pregnancy in the rudimentary uterine horn

Full text (in Russian)

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Received 23.11.2020

Accepted 13.04.2021

Alexander N. Strizhakov, Dr. Med. Sci., Academician of the RAS, Professor, Head of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University).
Tel.: +7(499)782-30-45. E-mail: kafedra-agp@mail.ru. 119991, Russia, Moscow, Trubetskaya str., 8-2.
Anton S. Olenev, candidate of medical sciences, chief freelance specialist in obstetrics and gynecology of Moscow Department of Healthcare, Head of the branch "Perinatal center", City Clinical Hospital № 24 of Moscow Department of Healthcare, Associate Professor of obstetrics and gynecology with the course of Perinatology of the Medical Institute of the Peoples' Friendship University of Russia. Tel.: +7(495)613-45-09. E-mail: OlenevAS@zdrav.mos.ru. 127287, Russia, Moscow, 4th Vyatsky lane, 39.
Oleg A. Latyshkevich, candidate of medical sciences, chief freelance specialist on reproductive health of Moscow Department of Healthcare, the chief physician of Center
of family planning and reproduction of Moscow Department of Healthcare. Tel.: +7(495)718-20-70. E-mail: cpsr@zdrav.mos.ru.
117209, Russia, Moscow, Sevastopolsky prospect, 24 A.
Irina M. Bogomazova, candidate of medical sciences, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University).
Tel.: +7(499) 782-30-45. E-mail: kafedra-agp@mail.ru. 119991, Russia, Moscow, Trubetskaya str., 8-2.
Elena V. Timokhina, Dr. Med. Sci., Associate Professor, Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University).
Tel.: +7(499) 782-30-45. E-mail: kafedra-agp@mail.ru 119991, Russia, Moscow, Trubetskaya str., 8-2.
Irina V. Ignatko, Dr. Med. Sci., Corresponding Member of the RAS, Professor of the RAS, Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University).
Tel.: +7(499)782-30-45. E-mail: kafedra-agp@mail.ru. 119991, Russia, Moscow, Trubetskaya str., 8-2.
Vera S. Belousova, candidate of medical sciences, Associate Professor of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University).
Tel.: +7(499)782-30-45. E-mail: kafedra-agp@mail.ru. 119991, Russia, Moscow, Trubetskaya str., 8-2.
Sapiyat M. Ibragimova, associate assistant of the Department of Obstetrics, Gynecology and Perinatology of the N.V. Sklifosovsky’s Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University). Tel.: +7(499)782-30-45. E-mail: kafedra-agp@mail.ru.
119991, Russia, Moscow, Trubetskaya str., 8-2.
Natalia V. Afanasyeva, candidate of medical sciences, Head of the Family Reproductive Center, City Clinical Hospital of S.S. Yudin of the Moscow Department of Healthcare. Tel.: +7(499)782-30-64. E-mail: gkb-yudina@zdrav.mos.ru. 115446, Russia, Moscow, Kolomensky proezd, 4.
Svetlana G. Ryabova, Head of the Emergency Department of the Maternity Hospital, City Clinical Hospital of S.S. Yudin of the Moscow Department of Healthcare.
Tel.: +7 (499)782-30-64. E-mail: gkb-yudina@zdrav.mos.ru. 115446, Russia, Moscow, Kolomensky proezd, 4.

For citation: Strizhakov A.N., Olenev A.S., Latyshkevich O.A., Bogomazova I.M., Timokhina E.V., Ignatko I.V., Belousova V.S., Ibragimova S.M., Afanasyeva N.V., Ryabova S.G. Ectopic pregnancy in the rudimentary uterine horn.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 5: 212-218 (in Russian)
https://dx.doi.org/10.18565/aig.2021.5.212-218

Ectopic pregnancy in the rudimentary uterine horn

Strizhakov A.N., Olenev A.S., Latyshkevich O.A., Bogomazova I.M., Timokhina E.V., Ignatko I.V., Belousova V.S., Ibragimova S.M., Afanasyeva N.V., Ryabova S.G.

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