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An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn

Unicornuate uterus occurs due to a complete or partial nondevelopment of one Mullerian duct; sometimes it is associated with a rudimentary horn, which can communicate or not with uterine cavity or contain functional endometrium. Pregnancy in a rudimentary horn is rare and the outcome almost always u...

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Autores principales: Gonçalves, Elisabete, Prata, João Pedro, Ferreira, Sandra, Abreu, Rita, Mesquita, Jorge, Carvalho, Agostinho, Pinheiro, Paula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655492/
https://www.ncbi.nlm.nih.gov/pubmed/23710390
http://dx.doi.org/10.1155/2013/307828
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author Gonçalves, Elisabete
Prata, João Pedro
Ferreira, Sandra
Abreu, Rita
Mesquita, Jorge
Carvalho, Agostinho
Pinheiro, Paula
author_facet Gonçalves, Elisabete
Prata, João Pedro
Ferreira, Sandra
Abreu, Rita
Mesquita, Jorge
Carvalho, Agostinho
Pinheiro, Paula
author_sort Gonçalves, Elisabete
collection PubMed
description Unicornuate uterus occurs due to a complete or partial nondevelopment of one Mullerian duct; sometimes it is associated with a rudimentary horn, which can communicate or not with uterine cavity or contain functional endometrium. Pregnancy in a rudimentary horn is rare and the outcome almost always unfavorable, usually ending in rupture during the first or second trimester with significant morbidity and mortality. Despite the availability and advances on imagiologic procedures, recognition of this ectopic pregnancy is frequently made at laparotomy after abdominal pain and collapse. The authors describe a case of a primigravida with 34 weeks of gestation admitted with a preeclampsia with severity criteria. A cesarean for fetal malpresentation was done and, unexpectedly, a rudimentary horn pregnancy was found with a live newborn. In the literature, few reports of a horn pregnancy reaching the viability with a live newborn are described, enhancing the clinical importance of this case. A review of literature concerning the epidemics, clinical presentation, and appropriate management of uterine horn pregnancies is made.
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spelling pubmed-36554922013-05-24 An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn Gonçalves, Elisabete Prata, João Pedro Ferreira, Sandra Abreu, Rita Mesquita, Jorge Carvalho, Agostinho Pinheiro, Paula Case Rep Obstet Gynecol Case Report Unicornuate uterus occurs due to a complete or partial nondevelopment of one Mullerian duct; sometimes it is associated with a rudimentary horn, which can communicate or not with uterine cavity or contain functional endometrium. Pregnancy in a rudimentary horn is rare and the outcome almost always unfavorable, usually ending in rupture during the first or second trimester with significant morbidity and mortality. Despite the availability and advances on imagiologic procedures, recognition of this ectopic pregnancy is frequently made at laparotomy after abdominal pain and collapse. The authors describe a case of a primigravida with 34 weeks of gestation admitted with a preeclampsia with severity criteria. A cesarean for fetal malpresentation was done and, unexpectedly, a rudimentary horn pregnancy was found with a live newborn. In the literature, few reports of a horn pregnancy reaching the viability with a live newborn are described, enhancing the clinical importance of this case. A review of literature concerning the epidemics, clinical presentation, and appropriate management of uterine horn pregnancies is made. Hindawi Publishing Corporation 2013 2013-04-27 /pmc/articles/PMC3655492/ /pubmed/23710390 http://dx.doi.org/10.1155/2013/307828 Text en Copyright © 2013 Elisabete Gonçalves et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gonçalves, Elisabete
Prata, João Pedro
Ferreira, Sandra
Abreu, Rita
Mesquita, Jorge
Carvalho, Agostinho
Pinheiro, Paula
An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn
title An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn
title_full An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn
title_fullStr An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn
title_full_unstemmed An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn
title_short An Unexpected Near Term Pregnancy in a Rudimentary Uterine Horn
title_sort unexpected near term pregnancy in a rudimentary uterine horn
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3655492/
https://www.ncbi.nlm.nih.gov/pubmed/23710390
http://dx.doi.org/10.1155/2013/307828
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