Chang J C, Lin Y C
Department of Obstetrics & Gynecology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Acta Obstet Gynecol Scand. 1992 Apr;71(3):235-8. doi: 10.3109/00016349209009926.
A rare case of rupture of an noncommunicating rudimentary horn pregnancy is reported. The pregnancy proceeded to 25 gestational weeks, when the rudimentary horn ruptured. The patient had signs and symptoms of massive hemoperitoneum. An emergency exploratory laparotomy revealed rupture of the gravid rudimentary horn and the fetus was lying free in the peritoneal cavity, was delivered breech and died 2 hours later. This reproductive complication was treated successfully by prompt exploratory laparotomy. Some of the factors associated with pregnancy in a rudimentary horn are discussed.
报道了一例罕见的非交通性残角子宫妊娠破裂病例。妊娠进展至25孕周时，残角子宫破裂。患者出现大量腹腔内出血的体征和症状。急诊剖腹探查发现妊娠残角子宫破裂，胎儿游离于腹腔内，以臀位娩出，2小时后死亡。通过及时的剖腹探查成功治疗了这一生殖系统并发症。文中讨论了一些与残角子宫妊娠相关的因素。
