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: Mehmet Sıddık Evsen, Muhammet Erdal Sak, Ali Özler, Hatice Ender Soydinç, Abdulkadir Turgut, Neval Yaman Goruk, Ahmet Yalınkaya
Format: Article
Language:English
Published: Medical Network 2013-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/175
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author Mehmet Sıddık Evsen
Muhammet Erdal Sak
Ali Özler
Hatice Ender Soydinç
Abdulkadir Turgut
Neval Yaman Goruk
Ahmet Yalınkaya
author_facet Mehmet Sıddık Evsen
Muhammet Erdal Sak
Ali Özler
Hatice Ender Soydinç
Abdulkadir Turgut
Neval Yaman Goruk
Ahmet Yalınkaya
author_sort Mehmet Sıddık Evsen
collection DOAJ
description 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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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-db3732b8eed447449e85e1a9a9f6caf32025-02-11T21:20:09ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182013-04-01191114Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature ReviewMehmet Sıddık Evsen0Muhammet Erdal Sak1Ali Özler2Hatice Ender Soydinç3Abdulkadir Turgut4Neval Yaman Goruk5Ahmet Yalınkaya6Dicle University School of Medicine Department of Obstetrics and Gynecology, DiyarbakırDicle University School of Medicine Department of Obstetrics and Gynecology, DiyarbakırDicle University School of Medicine Department of Obstetrics and Gynecology, DiyarbakırDicle University School of Medicine Department of Obstetrics and Gynecology, DiyarbakırDicle University School of Medicine Department of Obstetrics and Gynecology, DiyarbakırDicle University School of Medicine Department of Obstetrics and Gynecology, DiyarbakırDicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır 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. https://gorm.com.tr/index.php/GORM/article/view/175Rudimentary horn pregnancyUltrasonographyPregnancy
spellingShingle Mehmet Sıddık Evsen
Muhammet Erdal Sak
Ali Özler
Hatice Ender Soydinç
Abdulkadir Turgut
Neval Yaman Goruk
Ahmet Yalınkaya
Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
Gynecology Obstetrics & Reproductive Medicine
Rudimentary horn pregnancy
Ultrasonography
Pregnancy
title Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
title_full Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
title_fullStr Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
title_full_unstemmed Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
title_short Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review
title_sort diagnostic dilemma in rudimentary horn pregnancies report of the eight cases and a literature review
topic Rudimentary horn pregnancy
Ultrasonography
Pregnancy
url https://gorm.com.tr/index.php/GORM/article/view/175
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