Fallbericht Gynäkologie und Geburtshilfe Offener Zugang

Abstrakt

Pregnancy in communicating rudimentary horn of a unicornuate uterus

Mojghan karam nia far1, khadige Abadian 1-2*

Pregnancy in rudimentary horn is rare and It makes seriouse consequences for the mother and fetus.Unicornuate uterus with rudimentary horn occurs due  incomplete adhesion with the contralateral side and due to break in comprehensive development in one of the mulerian ducts and incomplete adhesion with the contralateral side.

Diagnosis of this unusual implantation in rudimentary horn in a women with prior vaginal delivery is difficult and can be missed in routine ultrasound scan and almost is detected after rupture. Also management of this condition need to much suspicion to mullerian anomaly.

A case report is presented of a 29 years old woman (gravida 3 para 1 Abortion 1) with a rudimentary horn pregnancy at 21 weeks gestational age. She came to hospital because of intrauterine fetal death. We used misoprostol, Foley cutteter, and fractional induction for her. But the induction of labor was last.So laparotomy was done and the rudimentary horn and Pregnancy Products excised. Post operative recovery was uneventful. Thus much suspicious to mullerian anomaly and the use of ultrasonography in the accurate diagnosis is considerable.