Minimally Invasive Surgical Management of a Second Trimester Pregnancy in a Rudimentary Uterine Horn |
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| Authors: | Genevieve Lennox Sophia Pantazi Johannes Keunen Tim Van Mieghem Lisa Allen |
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| Affiliation: | 1. Department of Obstetrics and Gynaecology, University of Toronto, Toronto ON;2. Department of Medical Imaging, Mount Sinai Hospital, Toronto ON;3. Department of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto ON;1. Department of Obstetrics and Gynaecology, Sikkim Manipal Institute of Medical Sciences and associated Central Referral Hospital, Gangtok, Sikkim, India;2. Department of Obstetrics and Gynaecology, Melaka Manipal Medical College, Melaka, Malaysia;3. Department of Community Medicine, Sikkim Manipal Institute of Medical Sciences and associated Central Referral Hospital, Gangtok, Sikkim, India;4. Department of Paediatrics, Sikkim Manipal Institute of Medical Sciences and associated Central Referral Hospital, Gangtok, Sikkim, India;1. Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver BC;2. Department of Community Health Sciences, University of Manitoba, Winnipeg MB;3. Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB;4. Department of medical Genetics, University of Calgary, Calgary AB;5. Department of Pediatrics, University of Calgary, Calgary AB;6. Department of Community Health Sciences, University of Calgary, Calgary AB;7. Department of Pathology and Laboratory Medicine, Saskatoon Health Region and College of Medicine, University of Saskatchewan, Saskatoon SK;1. Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynaecology, St. Michael’s Hospital, University of Toronto, Toronto ON;2. Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Kaiser Permanente, Fontana CA;3. Department of Biostatistics, Methodist Hospital/Indiana University Health, Indianapolis IN;4. Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Methodist Hospital/Indiana University Health, Indianapolis IN;1. Community Health Sciences, University of Manitoba, Winnipeg MB;2. Manitoba Centre for Health Policy, University of Manitoba, Winnipeg MB;3. Department of Sociology, University of Manitoba, Winnipeg MB |
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| Abstract: | BackgroundPregnancy in a rudimentary uterine horn is a rare form of ectopic pregnancy with a high risk of rupture. Management usually involves excision of the rudimentary horn. If diagnosed after the first trimester, it has been managed in the past by laparotomy.CaseA primigravid woman was found on routine ultrasound to have a rudimentary horn pregnancy. The diagnosis was confirmed on MRI, and a thin uterine wall was demonstrated. Management comprised fetal injection of potassium chloride followed by complete laparoscopic excision of the rudimentary horn at 16 weeks’ gestation.ConclusionLaparoscopic management of a mid-trimester rudimentary horn pregnancy is feasible, but expert radiological characterization is required for optimal surgical planning. |
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