Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Department of Radiology, Wayne State University School of Medicine, Detroit, Michigan, USA.
J Clin Ultrasound. 2020 Nov;48(9):553-556. doi: 10.1002/jcu.22836. Epub 2020 Apr 7.
Rudimentary horn pregnancies are an increasingly recognized complication of Mullerian duct anomalies. They can lead to uterine rupture with severe maternal morbidity and mortality. We present the case of a 28-year-old woman with a prior surgical diagnosis of bicornuate uterus who was diagnosed with a 7-week pregnancy in the left horn of a bicornuate uterus by 2D ultrasound. Further investigation with 3D ultrasound revealed that the pregnancy was within a noncommunicating rudimentary horn of a unicornuate uterus. These findings were confirmed at laparotomy. This case illustrates the importance and benefits of utilizing 3D ultrasound in diagnosing suspected Mullerian anomalies.
苗勒管发育异常可导致初发角妊娠，其为一种日益受到关注的并发症，可导致子宫破裂，严重危害母婴健康和生命安全。我们报告了 1 例 28 岁患者，其曾因双角子宫接受过手术治疗，二维超声检查诊断为妊娠 7 周，孕囊位于双角子宫左侧角。进一步行三维超声检查提示，该患者为单角子宫，其妊娠位于非交通性残角。剖腹探查证实了上述超声检查结果。本病例阐明了应用三维超声诊断疑似苗勒管畸形的重要性和优势。
