Work

Early first trimester diagnosis and total laparoscopic management of rudimentary uterine horn pregnancy

Year: 2024

Type: article

Abstract: Rudimentary uterine horn pregnancy is rare, with a reported incidence of 1 in 76,000 to 1 in 150,000. This report aims to advance knowledge regarding this rare condition, importance of MRI imaging in characterizing congenital uterine anomalies and the feasibility of a total laparoscopic management approach. A 26 year old female presented with new onset abdominal pain at 6 weeks gestation. Ultrasound imaging initially suggested that the pregnancy was located within a unicornuate uterus. However further imaging (ultrasound and MRI) instead located the pregnancy within a noncommunicating right-sided rudimentary uterine horn, with a left-sided unicornuate uterus. This uterine anomaly was newly diagnosed in early pregnancy and required a multidisciplinary approach to determine optimal management. A total laparoscopic approach was successfully used to excise the right uterine horn and fallopian tube to prevent recurrence and future complications including tubal ectopic pregnancy.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2024.08.137

Authors: Monica Krishnan, Victoria Louise Parker, Andrew J. Baxter, Swati Jha, Banu Marrappan, Bola Ola

Institutions: Jessop Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, University of Sheffield

Language: English

Topic: Gynecological conditions and treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550