Alrawashdeh Maen M, Alkazaleh Fawaz
School of Medicine, Royal College of Surgeons in Ireland, Dublin, IRL.
Faculty of Medicine, The University of Jordan, Amman, JOR.
Cureus. 2022 Jul 26;14(7):e27268. doi: 10.7759/cureus.27268. eCollection 2022 Jul.
Unicornuate uteri are a type of Mullerian duct anomaly and the majority present with rudimentary horns. Rudimentary horn pregnancies are extremely rare and have a high risk of rupture. A high index of suspicion is needed to diagnose them early and unfortunately, the majority of cases are undetected until the patient presents with a ruptured uterus. Early diagnosis and management will reduce morbidities and mortality for patients. We present a case of a 29 year old who had a routine ultrasound scan in the first trimester that raised an index of suspicion for a rudimentary horn pregnancy. An MRI scan was performed and supplemented the ultrasound findings. The patient underwent laparoscopic management, and the non-communicating rudimentary horn, the foetus, and the attached tube were excised. The patient had a smooth recovery and had no complications. Due to the rarity of rudimentary horn pregnancies, a high index of suspicion is needed for a diagnosis. Timely detection and intervention are crucial to prevent complications. Ultrasound scans and MRIs can aid in the diagnosis. Traditional management involved laparotomy, but with surgical advancements, laparoscopic surgery can be utilized as a less invasive alternative.
单角子宫是苗勒管异常的一种类型，大多数伴有残角。残角子宫妊娠极其罕见，且破裂风险很高。早期诊断需要高度的怀疑指数，不幸的是，大多数病例在患者出现子宫破裂时才被发现。早期诊断和管理将降低患者的发病率和死亡率。我们报告一例29岁患者，其在孕早期进行常规超声扫描时，引发了对残角子宫妊娠的怀疑指数。随后进行了磁共振成像（MRI）扫描，补充了超声检查结果。患者接受了腹腔镜手术治疗，切除了不连通的残角、胎儿及附着的输卵管。患者恢复顺利，无并发症。由于残角子宫妊娠罕见，诊断需要高度的怀疑指数。及时检测和干预对于预防并发症至关重要。超声扫描和MRI有助于诊断。传统的治疗方法是剖腹手术，但随着手术技术的进步，腹腔镜手术可作为一种侵入性较小的替代方法。
