Yahata T, Kurabayashi T, Ueda H, Kodama S, Chihara T, Tanaka K
Department of Obstetrics and Gynecology, Niigata University School of Medicine, Japan.
J Reprod Med. 1998 Mar;43(3):223-6.
Rudimentary uterine horn pregnancy is a very rare condition. Removal of a rudimentary horn is required as soon as a pregnancy is confirmed because most pregnancies in a rudimentary uterine horn rupture in the first or second trimester.
A 22-year-old woman was admitted to our hospital because an ectopic pregnancy was suggested by ultrasonographic examination at another hospital. A rudimentary uterine horn pregnancy was suspected from transvaginal ultrasonography. The patient was treated with laparoscopic surgery at 7 weeks of gestation. The pregnant rudimentary horn was removed laparoscopically by use of an automatic stapling device. The postoperative course was uneventful.
This is the first report of laparoscopic resection of a pregnant rudimentary uterine horn. Laparoscopic management of such a pregnancy may reduce operating time and peritoneal damage.
残角子宫妊娠是一种非常罕见的情况。一旦确诊妊娠，就需要尽快切除残角子宫，因为大多数残角子宫妊娠会在孕早期或孕中期发生破裂。
一名22岁女性因另一家医院超声检查提示异位妊娠而入住我院。经阴道超声检查怀疑为残角子宫妊娠。患者在妊娠7周时接受了腹腔镜手术治疗。使用自动吻合器经腹腔镜切除了妊娠的残角子宫。术后过程顺利。
这是首例关于腹腔镜切除妊娠残角子宫的报道。腹腔镜处理此类妊娠可能会减少手术时间和腹膜损伤。
