Anwari Lida
Department of Obstetrics and Gynecology, Darent Valley Hospital, Dartford, Kent, UK.
Radiol Case Rep. 2021 Jan 26;16(4):764-768. doi: 10.1016/j.radcr.2021.01.029. eCollection 2021 Apr.
This clinical case reports prerupture diagnosis of a rudimentary horn pregnancy in a 27-year-old formerly healthy woman presented with moderate to severe suprapubic abdominal pain at the gestational age of 12 + 0 weeks. The suspected diagnosis of this pregnant rudimentary horn via transvaginal ultrasound was acknowledged during an emergency exploratory laparotomy. The simple transvaginal ultrasound criteria suggested by the present study would help clinicians avoid time-consuming inefficient investigative procedure and rule out this rare life-threatening condition by taking into account the rudimentary horn pregnancy as a differential diagnosis in patients presenting with abdominal pain.
本临床病例报告了一名27岁既往健康女性,在孕12 + 0周时出现中度至重度耻骨上腹痛,术前诊断为残角子宫妊娠。在急诊剖腹探查术中,经阴道超声对该残角子宫妊娠的疑似诊断得到确认。本研究提出的简单经阴道超声标准将有助于临床医生避免耗时低效的检查程序,并通过将残角子宫妊娠作为腹痛患者的鉴别诊断,排除这种罕见的危及生命的情况。