PREGNANCY IN A RUDIMENTARY HORN OF THE UTERUS

Tomasz Sroczyński

Abstract


Pregnancy in a rudimentary horn of the uterus, a rare form of ectopic pregnancy, develops in women affected by developmental abnormalities of the growth and fusion of the Müllerian paramesonephric ducts. In the Polish population, this problem affects 4–8 women per year. The paper analyzes the problems that are associated with pregnancy developing in the rudimentary horn. Due to the continuous progress in medical sciences, maternal mortality has been almost completely eliminated in this form of ectopic pregnancy, while neonatal survival has risen to about 20%. Further developments in medicine allow us to be moderately optimistic about further improvement of the treatment’s statistics.


Keywords


rudimentary horn pregnancy; ectopic pregnancy; Müllerian anomalies

Full Text:

PDF (Język Polski)

References


Damario M., Rock J.: Ectopic pregnancy. In: The Linde’s Operative Gynecology. Ed. J. Rock, H.W. Jones III. Lippincott Williams and Wilkins, Philadelphia 2008, 798–824.

Nahum G.G.: Rudimentary uterine horn pregnancy. The 20th‑century worldwide experience of 588 cases. J Reprod Med. 2002, 47 (2), 151–163.

Johansen K.: Pregnancy in a rudimentary horn. Obstet Gynecol. 1983, 61, 565–567.

Hirose I., Harada K., Kuroda R., Ishii Y., Nakajima M., Kamei Y. et al.: An autopsy report on a ruptured rudimentary horn (uterine anomaly) with ectopic pregnancy. Forensic Sci Int. 2013, 10, 224, 1–3.

Moore K.L., Persaud T.V.N., Torchia M.G.: Development of the genital system. In: The developing human. Clinically Oriented Embryology. Elsevier Saunders, Philadelphia 2013, 265–281.

Chan Y.Y., Jayaprakasan K., Tan A., Thornton J.G., Coomarasamy A., Raine‑Fenning N.J.: Reproductive outcomes in women with congenital uterine anomalies: a systematic review. Ultrasound Obstet Gynecol. 2011, 38 (4), 371–382.

Chopra S., Keepanasseril A., Rohilla M., Bagga R., Kalra J., Jain V.: Obstetric morbidity and the diagnostic dilemma in pregnancy in rudimentary horn: retrospective analysis. Arch Gynecol Obstet. 2009, 280 (6), 907–910.

Henriet E., Roman H., Zanati J., Lebreton B., Sabourin J.C., Loic M.: Pregnant noncommunicating rudimentary uterine horn with placenta percreta. JSLS. 2008, 12 (1), 101–103.

Baughn M.R., Vaux K., Masliah E.: Placenta accreta in a separate uterine horn. Pediatr Dev Pathol. 2010, 13 (1), 63–65.

Banaś T., Mosur K., Banaś B., Pityńska‑Korab E., Nawara A.: Ciąża w niekomunikującym rogu szczątkowym macicy – opis dwóch przypadków. Perinatologia Neonatologia I Ginekologia. 2008, 1 (2), 157–160.

Willett A.: Pregnancy in a Rudimentary Horn of a Bicornate Uterus. Proc R Soc Med. 1909, 2, 342–344.

Spaczyński R.Z., Pietryga M.: Wrodzone wady macicy. In: Praktyczna ultrasonografia w położnictwie i ginekologii. Ed. Pietryga M., Brązert J. Wyd. Exemplum, Poznań 2012, 775–786.

Siwatch S., Mehra R., Pandher D.K., Huria A.: Rudimentary horn pregnancy: a 10‑year experience and review of literature. Arch Gynecol Obstet. 2013, 287 (4), 68–695.




DOI: https://doi.org/10.21164/pomjlifesci.6

Copyright (c) 2016 Tomasz Sroczyński

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/