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Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review

  • Materno-fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Introduction

Pregnancy in a rudimentary horn is although rare, but is associated with the risk of rupture and life threatening hemorrhage. With the use of ultrasound the diagnosis can be made before symptoms occur. Management usually consists of excision of the rudimentary horn along with the pregnancy and the ipsilateral tube, traditionally by laparotomy.

Materials and methods

We present a case of a 16-week ruptured rudimentary horn pregnancy diagnosed intraoperatively and managed laparoscopically in the presence of massive haemoperitoneum, which is first of its kind along with literature review.

Conclusion

This case demonstrates that laparoscopy is a feasible approach and can provide rapid diagnosis and control of bleeding in such cases provided there is availability of efficient multi-disciplinary teamwork, optimal anesthesia, advanced cardiovascular monitoring, laparoscopic expertise and ability to convert rapidly to laparotomy if required.

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Conflict of interest statement

I certify that no actual or potential conflict of interest in relation to this article exists.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Whipps Cross University Hospital, London, E11 1NR, UK

    Anupama Shahid, Oladimeji Olowu & Funlayo Ode**mi

  2. Department of Anesthesia, Whipps Cross University Hospital, London, E11 1NR, UK

    Gomathy Kandasamy

  3. Department of Accident and Emergency, Whipps Cross University Hospital, London, E11 1NR, UK

    Charlie O’Donnell

Authors
  1. Anupama Shahid
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  2. Oladimeji Olowu
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  3. Gomathy Kandasamy
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  4. Charlie O’Donnell
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  5. Funlayo Ode**mi
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Correspondence to Funlayo Ode**mi.

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Shahid, A., Olowu, O., Kandasamy, G. et al. Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review. Arch Gynecol Obstet 282, 121–125 (2010). https://doi.org/10.1007/s00404-009-1212-z

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  • DOI: https://doi.org/10.1007/s00404-009-1212-z

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