Rudimentary uterine horn pregnancy: a mystery diagnosis.
OBJECTIVE
To emphasize the importance of complete ultrasonographic evaluation during the first trimester of pregnancy.


METHODS
Case report.


METHODS
Obstetric unit in a training and research hospital.


METHODS
A 27-year-old primigravida woman who reached 37 weeks' gestation with a noncommunicating rudimentary horn pregnancy.


METHODS
The accurate diagnosis of a noncommunicating rudimentary horn pregnancy was made after cesarean section at 37 weeks' gestation. Rudimentary horn excision and ipsilateral salpingectomy were performed during exploration.


METHODS
Early diagnosis using sonography to prevent maternal morbidity and mortality.


RESULTS
A female baby with a 7/10 apgar score was delivered successfully. The patient and her baby were both discharged in good health.


CONCLUSIONS
Rudimentary uterine horn pregnancy should always be considered as a differential diagnosis of intrauterine pregnancy in a bicornuate uterus. A thorough ultrasonographic examination should be performed on the aspects of the pregnancy and the pelvic anatomy. Lack of knowledge of and experience with müllerian anomalies still makes these anomalies difficult to recognize even with laparoscopy.
Department of Obstetrics and Gynecology, Göztepe Training and Research Hospital, Istanbul, Turkey. godrtonguc@yahoo.co.uk
Tonguç
T
Arslan
Ergün
E
Bilgiç
M Baki
MB
Sentürk
Neşe
N
Yücel
D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D009095:Mullerian Ducts / Q000002:abnormalities; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D016216:Ultrasonography, Prenatal; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery