Hand-assisted laparoscopic management of a midtrimester rudimentary horn pregnancy with placenta increta: a case report and literature review

Journal of Minimally Invasive Gynecology
Karenrose R ContrerasGregory J Raff

Abstract

Pregnancy in a rudimentary horn is an extremely rare but serious obstetric condition. It is associated with uterine rupture and increased maternal mortality. The standard treatment is excision of the pregnancy and rudimentary horn. Several case reports describe a successful laparoscopic approach for rudimentary horn pregnancies diagnosed in the first trimester. A midtrimester rudimentary horn pregnancy was managed with a hand-assisted laparoscopic technique. This patient sought prenatal care at 19 weeks without any symptoms. A routine ultrasound found an empty uterus and an abdominal pregnancy was suggested. She subsequently had a hand-assisted laparoscopic delivery of a 19-week fetus with excision of the left-sided noncommunicating rudimentary horn. Intraoperative and pathologic findings were both consistent with a noncommunicating uterine horn pregnancy with placenta increta. Midtrimester rudimentary horn pregnancy can be successfully managed via hand-assisted laparoscopy in a patient who is hemodynamically stable.

References

Feb 1, 1994·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M M Liu
Aug 1, 1996·The Journal of the American Association of Gynecologic Laparoscopists·J DulembaM Freeman
May 1, 1997·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·M BaşbuğE Aygen
May 8, 1998·Obstetrics and Gynecology·B P LawhonR T Dufort
Nov 7, 1998·Human Reproduction·D DickerZ Ben-Rafael
Oct 4, 2003·American Journal of Obstetrics and Gynecology·Alison B EdelmanMark D Nichols
Nov 18, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Swati Chakravarti, Kirk Chin
Mar 24, 2004·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Alfred CutnerSarah Creighton
Jun 4, 2005·Obstetrics and Gynecology·Yasmin JayasingheSonia Grover
Feb 1, 2006·The Journal of Obstetrics and Gynaecology Research·Hiroyuki TakeuchiKatsuyuki Kinoshita
Jan 2, 2007·Indian Journal of Medical Sciences·Seema ChopraNeelam Aggarwal
Apr 12, 2008·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Emmanuelle HenrietMarpeau Loic

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Citations

Aug 26, 2009·Archives of Gynecology and Obstetrics·Anupama ShahidFunlayo Odejinmi
Nov 28, 2012·Archives of Gynecology and Obstetrics·Sujata SiwatchAnju Huria
May 7, 2011·Journal of Minimally Invasive Gynecology·A Karim NawfalDavid Eisenstein
Jun 15, 2007·Journal of Pediatric and Adolescent Gynecology·L C StrawbridgeS M Creighton
Nov 12, 2013·Radiologic Clinics of North America·Brian C Allen, John R Leyendecker
Mar 1, 2008·Gynécologie, obstétrique & fertilité·R SchmiedL Marpeau
Apr 2, 2010·Fertility and Sterility·Grigoris F Grimbizis, Rudi Campo
Apr 20, 2011·The Journal of Obstetrics and Gynaecology Research·Anjali S KawthalkarAnuja V Bhalerao
Jun 21, 2017·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Aderemi Olaoluwa AlaladeFunlayo Odejinmi
Oct 4, 2018·Fertility Research and Practice·Paula C BradySerene S Srouji
Aug 15, 2021·Journal of Pediatric and Adolescent Gynecology·Kayla L NelsonSarah K McQuillan

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