Pregnant noncommunicating rudimentary uterine horn with placenta percreta.
BACKGROUND
To report a placenta percreta in a 7-week gestational rudimentary noncommunicating uterine horn pregnancy.


METHODS
A 28-year-old woman with no complaints presented with a rudimentary uterine horn pregnancy at 7-weeks gestation. The diagnosis was suspected by ultrasonography and diagnosed by laparoscopy. Laparoscopic excision of the rudimentary uterine horn and ipsilateral salpingectomy were performed, as well as biopsy of several peritoneal endometriosis lesions.


RESULTS
A 7-week gestation pregnancy with placenta percreta was identified in the rudimentary uterine horn. No communication was found with the right unicornuate uterus. Endometriosis was confirmed. Clinical outcome was favorable.


CONCLUSIONS
Placenta percreta may occur in rudimentary uterine horn pregnancies, but accidents may be avoided by an early diagnosis and surgical management. However, in young women who desire pregnancy, planned laparoscopic resection of a rudimentary uterine horn revealed accidentally should be discussed.
Henriet
Emmanuelle
E
Department of Gynecology and Obstetrics, University Hospital Rouen, France.
Roman
Horace
H
Zanati
Joel
J
Lebreton
Bernard
B
Sabourin
Jean-Christophe
JC
Loic
Marpeau
M
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000453:epidemiology* / Q000601:surgery; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000453:epidemiology* / Q000601:surgery; D014599:Uterus / Q000002:abnormalities*