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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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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. |
format | Online Article Text |
id | pubmed-3655492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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