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Archives of Gynecology and Obstetrics

Published in:

01-08-2010 | Materno-fetal Medicine

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

Authors: Anupama Shahid, Oladimeji Olowu, Gomathy Kandasamy, Charlie O’Donnell, Funlayo Odejinmi

Published in: Archives of Gynecology and Obstetrics | Issue 2/2010

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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Title: Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review
Authors: Anupama Shahid
Oladimeji Olowu
Gomathy Kandasamy
Charlie O’Donnell
Funlayo Odejinmi
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1212-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Introduction

Materials and methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Conclusion

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