Upadhyaya I
Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2011 Oct-Dec;51(184):199-202.
Pregnancy in a non-communicating rudimentary horn is an extremely rare form of ectopic gestation. The rudimentary horn may or may not communicate with the uterine cavity with the majority of cases being non-communicating. The patient exhibits features of acute abdomen and carries a high risk of maternal death. Even modern scans remain elusive whereas laparatomy remains the confirmatory procedure for the diagnosis. Because of the varied muscular constitution in the thickness and distensibility of the wall of the rudimentary horn, pregnancy is accommodated for a variable period of gestation. Here, we report three cases of pregnancy in a non-communicating rudimentary horn of the uterus in different periods of gestation, their outcome and a review of the available literature.
残角子宫妊娠（不通畅型）是一种极为罕见的异位妊娠形式。残角子宫可能与子宫腔相通，也可能不相通，大多数情况为不相通型。患者表现出急腹症的特征，且孕产妇死亡风险很高。即便采用现代扫描检查，诊断仍不明确，而剖腹探查术仍是确诊的手段。由于残角子宫壁的厚度和伸展性方面肌肉构成各异，妊娠可在不同孕期持续。在此，我们报告三例处于不同孕期的不通畅型子宫残角妊娠病例、其结局，并对现有文献进行综述。
