Management of the uterine anomalies with the rudimentary horn. Report of two cases
Hippokratia, cilt.28, sa.4, ss.173-175, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 4
- Basım Tarihi: 2024
- Dergi Adı: Hippokratia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.173-175
- Anahtar Kelimeler: Uterine anomalies, rudimentary horn, pregnancy, excision, fallopian tube ligation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Rudimentary horn (RH) uterine anomalies are rare müllerian duct development anomalies. RH pregnancies often result in rupture and may endanger the life of the mother; therefore, when RH is detected, excision of the RH is recommended. First case: A 28-year-old G4P3 (one vaginal delivery and two cesarean sections) pregnant woman at 14 weeks gestation was admitted to the emergency department with complaints of widespread abdominal pain and fainting. The ultrasound revealed that the fetus was in the abdomen with an intact amniotic membrane, widespread free fluid, and hematoma in the abdomen, and we performed an urgent laparotomy. As a result of the rupture of the RH, massive intra-abdominal bleeding and the fetus was found to be in the abdominal cavity. We excised the ruptured RH with a right salpingectomy, and her life was saved. Second case: A 26-year-old, G1P0, 36 weeks pregnant, underwent emergency cesarean section due to 5 cm cervical dilation and breech presentation. The left RH was detected intraoperatively and left tubal ligation was performed due to the proximity of RH to the unicornuate uterus. Conclusion: Appropriate clinical management is crucial for patients who have RH anomalies. Excision of RH is recommended to prevent future RH pregnancy because of its high risk of rupture. Even if excision is not feasible, at least ligating the fallopian tube on the rudimentary side is an option to prevent future RH pregnancy.