Ruptured rudimentary horn pregnancy with a history of an uneventful vaginal delivery

Verfasser / Beitragende:
[Nitin Mishra, Nitin Yadav, Darshan Koshiya, Vikas Jhanwar]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/1(2015-01-01), 117-120
Format:
Artikel (online)
ID: 605539316
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024 7 0 |a 10.1007/s10396-014-0582-4  |2 doi 
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245 0 0 |a Ruptured rudimentary horn pregnancy with a history of an uneventful vaginal delivery  |h [Elektronische Daten]  |c [Nitin Mishra, Nitin Yadav, Darshan Koshiya, Vikas Jhanwar] 
520 3 |a Pregnancy in a rudimentary uterine horn is a rare event with an estimated incidence of 1 in 76,000 to 1 in 1,40,000 pregnancies. Unicornuate uterus with a rudimentary horn has a high incidence of obstetric and gynecological complications. Ruptured ectopic pregnancy in the rudimentary horn is one of the most dreaded complications, which can have grave consequences for both mother and fetus. In the majority of the cases, it is detected after rupture of the horn, usually during the first or second trimester of pregnancy. An ultrasonographic diagnosis made prior to rupture of the rudimentary horn may prevent this catastrophic outcome. We report a case of a G2 P1 L1 with a ruptured left rudimentary horn pregnancy at 16weeks of gestation that was misdiagnosed as a pregnancy in the left uterine horn of a bicornuate uterus on prior prenatal ultrasound. The patient presented to our hospital with abdominal pain and vaginal bleeding. A diagnosis of ruptured left rudimentary horn pregnancy was made on the basis of emergency ultrasound and was later confirmed on laparotomy. The left rudimentary horn along with the ipsilateral fallopian tube was excised. 
540 |a The Japan Society of Ultrasonics in Medicine, 2014 
690 7 |a Rupture  |2 nationallicence 
690 7 |a Rudimentary horn  |2 nationallicence 
690 7 |a Ultrasound  |2 nationallicence 
690 7 |a Vaginal delivery  |2 nationallicence 
690 7 |a Ectopic pregnancy  |2 nationallicence 
700 1 |a Mishra  |D Nitin  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
700 1 |a Yadav  |D Nitin  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
700 1 |a Koshiya  |D Darshan  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
700 1 |a Jhanwar  |D Vikas  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/1(2015-01-01), 117-120  |x 1346-4523  |q 42:1<117  |1 2015  |2 42  |o 10396 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mishra  |D Nitin  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yadav  |D Nitin  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Koshiya  |D Darshan  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jhanwar  |D Vikas  |u Department of Radio-diagnosis, SMS Medical College and Hospitals, 65-A, Lane No. 3, Keshav Nagar, Civil Lines, 302006, Jaipur, Rajasthan, India  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/1(2015-01-01), 117-120  |x 1346-4523  |q 42:1<117  |1 2015  |2 42  |o 10396