Rupture of a Rudimentary Uterine Horn: A Case Report

• 作者: Adjoby Cassou Roland Diomandé Fatoumata Alice Effoh N’Drin Dénis Kakou Charles Koffi Soh Victor Konan Joachim Kouakou Firmin Kouamé Arthur Didier
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: UTERINE RUPTURE ABDOMINAL PREGNANCY UTERUS Bicornis Rudimentary UTERINE HORN
• 年，卷（期）: fckqkyw_2017,（7）
• 页码范围: 748-752
• 页数: 5页
• 分类号: R73

摘要

Pregnancy in an abnormal uterus is a high-risk situation in obstetrics. Uterus bicornis unicollis with a rudimentary horn is often discovered incidentally. The aim of this report is to warn obstetricians about recurrent abdominal pain in the second trimester of pregnancy without any cause identified. Pregnancy can proceed in the rudimentary horn. We presented a case of a rupture of the rudimentary horn which occurred at 25 weeks of amenorrhea in an unmarried 19-year-old primigravida. The rudimentary horn was removed after performing an emergency laparotomy for an intraperitoneal hemorrhage with signs of shock. This abnormality is often revealed by uterine rupture, which usually occurs in the second trimester of pregnancy. Conclusion: We emphasize the importance of early diagnosis of this uterine abnormality, before pregnancy if possible. Undiagnosed, this condition evolves towards uterine rupture during pregnancy and requires emergency surgery with excision of the rudimentary horn.