Term pregnancy in a noncommunicating rudimentary horn of an unicornuate uterus: a case report.
A case of full-term pregnancy in the noncommunicating rudimentary horn of unicornuate uterus is presented. A healthy female infant weighing 2,985 g was delivered by cesarean section at 37 weeks' gestation. The diagnosis was missed by prenatal ultrasonography and was made only at laparotomy. A retrospective analysis of our ultrasound studies revealed that the echo pattern of the nongravid uterus resembled a soft pelvic mass. Color Doppler imaging revealed prominent low-impedance uterine arcuate-radial arterial blood flow surrounding the periphery of the pelvic mass, as well as multiple areas of placental implantation with a pulsatile lacunar flow pattern. A high index of suspicion of rudimentary horn pregnancy should be borne in mind whenever late-pregnancy ultrasonography shows the above-mentioned characteristic ultrasonic findings.
Chou
M M
MM
Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taiwan, ROC.
Ho
E S
ES
Lin
S K
SK
Yang
S J
SJ
Lee
Y H
YH
Huang
P C
PC
Chang
S M
SM
D000328:Adult; D005260:Female; D006801:Humans; D007813:Laparotomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000002:abnormalities*