Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Sector-32, Chandigarh 160032, India.
Arch Gynecol Obstet. 2013 Apr;287(4):687-95. doi: 10.1007/s00404-012-2625-7. Epub 2012 Nov 27.
Rudimentary horn pregnancy is rare, but can cause considerable morbidity and mortality. We discuss five cases presented to our hospital in the last 10 years and systematically review the 10-year literature of rudimentary horn pregnancies diagnosed antenatally pre-rupture.
The aim of the review was to find radiologic investigations/criteria to diagnose rudimentary horn pregnancy antenatally pre-rupture.
A systematic literature review was carried out in Pubmed search for rudimentary horn pregnancies. The radiologic findings of the cases diagnosed before rupture were analyzed.
Ultrasound is the most commonly used technique, though MRI seems to delineate details better. Non-continuity of the lumen of the cervix with the pregnant uterine horn is an important imaging finding. High clinical suspicion and radiologic skill for diagnosis are emphasized.
The review presents the existing imaging criteria to diagnose rudimentary horn pregnancy and suggests future research to enhance the limited evidence.
原始角妊娠罕见,但可引起相当大的发病率和死亡率。我们讨论了过去 10 年在我们医院就诊的 5 例病例,并系统地回顾了过去 10 年中诊断为破裂前的原始角妊娠的文献。
本综述的目的是找到放射学检查/标准,以在破裂前产前诊断原始角妊娠。
在 Pubmed 搜索中进行了系统的文献检索,以寻找原始角妊娠。分析了破裂前诊断的病例的放射学发现。
超声是最常用的技术,尽管 MRI 似乎能更好地描绘细节。宫颈与妊娠子宫角之间的管腔连续性中断是重要的影像学发现。强调了高度的临床怀疑和诊断的放射学技能。
本综述提出了目前用于诊断原始角妊娠的影像学标准,并建议进行未来的研究以增强有限的证据。