Terzi Hasan, Yavuz Arzu, Demirtaş Ömer, Kale Ahmet
Kocaeli Derince Education and Research Hospital, Clinic of Obstetrics and Gynecology, Kocaeli, Turkey.
Pamukkale University Faculty of Medicine, Department of Obstetrics and Gynecology, Denizli, Turkey.
Turk J Obstet Gynecol. 2014 Sep;11(3):189-192. doi: 10.4274/tjod.10437. Epub 2014 Sep 15.
We aimed to present 7-8 weeks rudimentary horn pregnancy detected preoperatively. A 37-year-old woman, gravida 3, para 2, at 7-8 weeks' gestation referred to our clinic with a complaint of abdominal pain. The patient was primarily infertile, and she had unicornuate uterus detected during infertility investigation. Due to abnormal ultrasonographic image, rudimentary horn pregnancy was considered. Accurate diagnosis was made by laparoscopy, and rudimentary horn excision was performed. Prerupture diagnosis is very difficult in rudimentary horn pregnancies. The key role in preoperative diagnosis is suspicion. Ultrasonographic examination and clinical suspicion are sufficient in most cases.
我们旨在呈现术前检测出的7 - 8周残角子宫妊娠。一名37岁女性，孕3产2，妊娠7 - 8周，因腹痛前来我院就诊。该患者原发性不孕，在不孕检查期间发现单角子宫。由于超声图像异常，考虑为残角子宫妊娠。通过腹腔镜检查做出准确诊断，并进行了残角子宫切除术。残角子宫妊娠的破裂前诊断非常困难。术前诊断的关键在于怀疑。在大多数情况下，超声检查和临床怀疑就足够了。
