Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review.
BACKGROUND
Pregnancy in a rudimentary horn is although rare, but is associated with the risk of rupture and life threatening hemorrhage. With the use of ultrasound the diagnosis can be made before symptoms occur. Management usually consists of excision of the rudimentary horn along with the pregnancy and the ipsilateral tube, traditionally by laparotomy.


METHODS
We present a case of a 16-week ruptured rudimentary horn pregnancy diagnosed intraoperatively and managed laparoscopically in the presence of massive haemoperitoneum, which is first of its kind along with literature review.


CONCLUSIONS
This case demonstrates that laparoscopy is a feasible approach and can provide rapid diagnosis and control of bleeding in such cases provided there is availability of efficient multi-disciplinary teamwork, optimal anesthesia, advanced cardiovascular monitoring, laparoscopic expertise and ability to convert rapidly to laparotomy if required.
Shahid
Anupama
A
Department of Obstetrics and Gynecology, Whipps Cross University Hospital, London E11 1NR, UK.
Olowu
Oladimeji
O
Kandasamy
Gomathy
G
O'Donnell
Charlie
C
Odejinmi
Funlayo
F
D000328:Adult; D005260:Female; D006465:Hemoperitoneum / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010121:Oxytocin / Q000627:therapeutic use; D011247:Pregnancy; D014463:Ultrasonography; D014597:Uterine Rupture / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000187:drug effects / Q000601:surgery*; D014667:Vasopressins / Q000627:therapeutic use
D014667:Vasopressins; D010121:Oxytocin