Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 3
Abstract
Pregnancy in a rudimentary horn is very rare. Te rupture of the horn during pregnancy is an obstetric emergency which can be life-threatening for both the mother and fetus. Preoperative diagnosis of such pregnancies can be challenging and they are usually diagnosed intraoperatively. We report a unique case of a 31-year-old multiparous woman who presented to the Sultan Qaboos University Hospital in Muscat, Oman, in January 2013 at 32 gestational weeks with abdominal pain. Ultrasonography was inconclusive. A rudimentary horn pregnancy was subsequently diagnosed via magnetic resonance imaging (MRI). An emergency laparotomy revealed haemoperitoneum and a ruptured rudimentary horn pregnancy. A live baby with an Apgar score of 2 at one minute and 7 at fve minutes was delivered. Te rudimentary horn with the placenta in situ was excised and a left salpingooophorectomy was performed. Te postoperative period was uneventful. Te authors recommend MRI as an excellent diagnostic modality to confrm rudimentary horn pregnancies and to expedite appropriate management.
Authors and Affiliations
Silja A. Pillai| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Mariam Mathew| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Noreen Ishrat| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Anupam Kakaria| Departments of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Asim Qureshi| Departments of Pathology, Sultan Qaboos University Hospital, Gowri Vaidyanathan| Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
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