Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review

Authors

  • Mehmet Sıddık Evsen Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Muhammet Erdal Sak Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Ali Özler Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Hatice Ender Soydinç Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Abdulkadir Turgut Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Neval Yaman Goruk Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır
  • Ahmet Yalınkaya Dicle University School of Medicine Department of Obstetrics and Gynecology, Diyarbakır

Keywords:

Rudimentary horn pregnancy, Ultrasonography, Pregnancy

Abstract

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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Published

2013-04-30

How to Cite

1.
Evsen MS, Sak ME, Özler A, Soydinç HE, Turgut A, Goruk NY, Yalınkaya A. Diagnostic Dilemma in Rudimentary Horn Pregnancies: Report of the Eight Cases and a Literature Review. Gynecol Obstet Reprod Med [Internet]. 2013Apr.30 [cited 2021Feb.25];19(1):23-5. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/175

Issue

Section

Reproductive Medicine: Endocrinology and Infertility

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