Rupture of a Rudimentary Uterine Horn: A Case Report  

作　　者：Kouamé Arthur Didier Adjoby Cassou Roland Konan Joachim Effoh N’Drin Dénis Kakou Charles Diomandé Fatoumata Alice Koffi Soh Victor Kouakou Firmin 

机构地区：[1]Obstetrics and Gynaecology Department of the University Hospital of Cocody-Abidjan, Abidjan, Cô te D’Ivoire

出　　处：《Open Journal of Obstetrics and Gynecology》2017年第7期748-752,共5页妇产科期刊（英文）

摘　　要：Pregnancy in an abnormal uterus is a high-risk situation in obstetrics. Uterus bicornis unicollis with a rudimentary horn is often discovered incidentally. The aim of this report is to warn obstetricians about recurrent abdominal pain in the second trimester of pregnancy without any cause identified. Pregnancy can proceed in the rudimentary horn. We presented a case of a rupture of the rudimentary horn which occurred at 25 weeks of amenorrhea in an unmarried 19-year-old primigravida. The rudimentary horn was removed after performing an emergency laparotomy for an intraperitoneal hemorrhage with signs of shock. This abnormality is often revealed by uterine rupture, which usually occurs in the second trimester of pregnancy. Conclusion: We emphasize the importance of early diagnosis of this uterine abnormality, before pregnancy if possible. Undiagnosed, this condition evolves towards uterine rupture during pregnancy and requires emergency surgery with excision of the rudimentary horn.Pregnancy in an abnormal uterus is a high-risk situation in obstetrics. Uterus bicornis unicollis with a rudimentary horn is often discovered incidentally. The aim of this report is to warn obstetricians about recurrent abdominal pain in the second trimester of pregnancy without any cause identified. Pregnancy can proceed in the rudimentary horn. We presented a case of a rupture of the rudimentary horn which occurred at 25 weeks of amenorrhea in an unmarried 19-year-old primigravida. The rudimentary horn was removed after performing an emergency laparotomy for an intraperitoneal hemorrhage with signs of shock. This abnormality is often revealed by uterine rupture, which usually occurs in the second trimester of pregnancy. Conclusion: We emphasize the importance of early diagnosis of this uterine abnormality, before pregnancy if possible. Undiagnosed, this condition evolves towards uterine rupture during pregnancy and requires emergency surgery with excision of the rudimentary horn.

关 键 词：UTERINE RUPTURE ABDOMINAL PREGNANCY UTERUS Bicornis Rudimentary UTERINE HORN 

分 类 号：R73[医药卫生—肿瘤]