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Sonographic diagnosis of uncomplicated first-trimester pregnancy in the rudimentary horn of a unicornuate uterus

✍ Scribed by Kishor Taori; Bimal Kumar Saha; Deepal Shah; Narottam Khadaria; Vijay Jadhav; Rajesh Jawale

Publisher: John Wiley and Sons
Year: 2007
Tongue: English
Weight: 130 KB
Volume: 36
Category: Article
ISSN: 0091-2751
DOI: 10.1002/jcu.20337

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✦ Synopsis

Abstract

Although pregnancy in a rudimentary uterine horn is rare, the correct diagnosis of this condition on routine sonographic examination is critical, because its natural history usually involves the rupture of the pregnant horn during the second or third trimester, resulting in life‐threatening bleeding. We report a case in which the diagnosis of right unicornuate uterus with a left noncommunicating rudimentary horn was made in the first trimester on routine sonographic examination. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2008

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Pregnancy within a noncommunicating rudimentary horn has a 70% chance of rupturing, with a maternal mortality of 0.5%. It is most commonly managed with operative removal of the horn. We report a pregnancy within a noncommunicating horn and highlight the advantage of early diagnosis via sonography. F