Pregnancy in a non-communicating uterine horn mimicking incarceration with sacculation of a retroflexed uterus.
Incarceration and sacculation of a retroflexed gravid uterus is relatively benign, in contrast with pregnancy in a rudimentary uterine horn which can lead to perforation and hemorrhage. We report a case of pregnancy in an incarcerated sacculated non-communicating rudimentary horn mimicking incarceration with sacculation of a retroflexed gravid uterus. Both physical and sonographic findings were unhelpful in the differential diagnosis. Therefore, decision for laparotomy in such cases should be based on severity of symptoms.
Nwosu
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Department of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City.
Thatcher
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D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000601:surgery; D014599:Uterus / Q000002:abnormalities*