Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
OBJECTIVE: Although rudimentary horn pregnancies (RHP) are extremely rare, they may be dangerous. The aim of this study is to present our clinical experience on 8 patients with RHP together with a literature review. STUDY DESIGN: Records of patients with RHP that were managed between January 2008 a...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medical Network
2013-04-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
| Subjects: | |
| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/175 |
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| Summary: | OBJECTIVE: Although rudimentary horn pregnancies (RHP) are extremely rare, they may be dangerous. The aim of this study is to present our clinical experience on 8 patients with RHP together with a literature review.
STUDY DESIGN: Records of patients with RHP that were managed between January 2008 and December 2011 in a tertiary referral hospital in southeast region of Turkey, were retrospectively analyzed. Eight cases with RHP were identified throughout the study period.
RESULTS: The mean age of the patients was 23±3.9 years and the mean gestational age was 14.8±4.8 weeks. Rudimentary horn was localized on the left side in 6 of 8 cases (75%). Four (50%) cases hadbeen referred to our department from other hospitals after horn rupture. Two cases had a history of cesarean section due to malpresentation but interestingly without any information about having a Mullerian anomaly. Two of 4 cases with massive intra-abdominal bleeding which had been transferred from other clinics, presented with shock. There was no maternal mortality.
CONCLUSION: In obstetrics and gynecology training more attention should be given to unicornuate uterus because of the risk of rudimentary horn pregnancy and risk of rupture.
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| ISSN: | 1300-4751 2602-4918 |