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.

Downloads

Download data is not yet available.

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 2024Mar.28];19(1):23-5. Available from: https://gorm.com.tr/index.php/GORM/article/view/175

Issue

Section

Reproductive Medicine: Endocrinology and Infertility