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单角子宫非交通性残角内妊娠:一例报告

Gestation Within a Non-communicating Rudimentary Horn of a Unicornuate Uterus: A Case Report.

作者信息

Alshareef Bodoor Saad S, Alaqeeli Abdulmalik K, Wahbah Ehab, Albayati Yousef, Shata Yousef, Alsabti Mohammed Ibrahim, Babic Inas

机构信息

Obstetrics and Gynecology, Prince Sultan Military Medical City, Riyadh, SAU.

College of Medicine, Alfaisal University, Riyadh, SAU.

出版信息

Cureus. 2025 Sep 18;17(9):e92641. doi: 10.7759/cureus.92641. eCollection 2025 Sep.

DOI:10.7759/cureus.92641
PMID:40980784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12445787/
Abstract

Pregnancy in a non-communicating rudimentary horn of a unicornuate uterus is a rare and potentially dangerous condition due to the risk of rupture and maternal morbidity. In this report, we discuss the case of a 39-year-old woman with three previous term deliveries who was diagnosed in the first trimester with a rudimentary horn pregnancy. She remained asymptomatic and underwent successful surgical excision of the horn containing the pregnancy. This case highlights the importance of early recognition and timely surgical management in preventing life-threatening complications.

摘要

单角子宫残角妊娠是一种罕见且潜在危险的情况,因为存在破裂风险和孕产妇发病风险。在本报告中,我们讨论了一名39岁有三次足月分娩史的妇女的病例,她在孕早期被诊断为残角妊娠。她一直无症状,并成功接受了切除含妊娠残角的手术。该病例凸显了早期识别和及时手术管理在预防危及生命并发症方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/a39e6e602843/cureus-0017-00000092641-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/c9d3caf51511/cureus-0017-00000092641-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/7ba8c03715a0/cureus-0017-00000092641-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/a9a508479003/cureus-0017-00000092641-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/a39e6e602843/cureus-0017-00000092641-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/c9d3caf51511/cureus-0017-00000092641-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/7ba8c03715a0/cureus-0017-00000092641-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/a9a508479003/cureus-0017-00000092641-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/12445787/a39e6e602843/cureus-0017-00000092641-i04.jpg

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本文引用的文献

1
Unicornuate Uterus with a Non-Communicating Rudimentary Horn: Challenges and Management of a Rare Pregnancy.单角子宫合并非交通性残角子宫:罕见妊娠的挑战与处理
Cureus. 2023 Jun 19;15(6):e40666. doi: 10.7759/cureus.40666. eCollection 2023 Jun.
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A Case Report on a Left Unicornuate Uterus With Communicating Right Rudimentary Horn Associated With Hematometra and Hematosalpinx.一例左侧单角子宫合并右侧残角子宫相通伴子宫积血和输卵管积血的病例报告
Cureus. 2023 Apr 21;15(4):e37959. doi: 10.7759/cureus.37959. eCollection 2023 Apr.
3
Uterine Didelphys with Transverse Vaginal Septum - A Complex Rare Müllerian Anomaly.
双子宫伴阴道横隔——一种复杂罕见的苗勒管畸形
Acta Med Litu. 2021;28(2):367-373. doi: 10.15388/Amed.2021.28.2.2. Epub 2021 Jul 29.
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Uterine rupture of a patient with rudimentary horn pregnancy at 26th gestational weeks.一名孕26周残角子宫妊娠患者发生子宫破裂。
Int J Surg Case Rep. 2022 May;94:107003. doi: 10.1016/j.ijscr.2022.107003. Epub 2022 Mar 29.
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Successful Management of a Noncommunicating Rudimentary Uterine Horn Pregnancy by Laparoscopic Surgery: A Case Report and Literature Review.腹腔镜手术成功治疗非交通性残角子宫妊娠:病例报告及文献综述
Gynecol Minim Invasive Ther. 2022 Feb 14;11(1):7-16. doi: 10.4103/GMIT.GMIT_157_20. eCollection 2022 Jan-Mar.
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An unprecedented occult non-communicating rudimentary uterine horn treated with laparoscopic excision and preservation of both fallopian tubes: a case report and review of the literature.经腹腔镜切除并保留双侧输卵管治疗一例前所未有的隐匿性非交通性残角子宫:病例报告及文献复习。
J Med Case Rep. 2021 Feb 4;15(1):51. doi: 10.1186/s13256-020-02636-x.
7
Rupture of Non-communicating Rudimentary Horn Pregnancy at 15 Weeks with Previous Normal Pregnancies: A Case Report.15 周时非交通性残角子宫妊娠破裂:病例报告。
JNMA J Nepal Med Assoc. 2020 Jul 31;58(228):614-617. doi: 10.31729/jnma.5104.
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Pregnancy in a non-communicating rudimentary horn of a unicornuate uterus.单角子宫残角子宫非交通性妊娠。
Hippokratia. 2019 Apr-Jun;23(2):92-94.
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Pregnancy in Noncommunicating Rudimentary Horn of Unicornuate Uterus: A Case Report and Review of the Literature.单角子宫非交通性残角子宫妊娠:一例报告并文献复习
Case Rep Obstet Gynecol. 2019 Dec 14;2019:1489751. doi: 10.1155/2019/1489751. eCollection 2019.
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BMC Womens Health. 2019 May 30;19(1):71. doi: 10.1186/s12905-019-0768-4.