Ectopic Pregnancy in a Rudimentary Horn: A Case Report

IF 3.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2025-10-22 DOI:10.1016/j.jmig.2025.09.125

L Diamond , C Warshafsky , D Hylton , J Kroft , P Lee

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引用次数: 0

Abstract

Study Objective

This video i) provides background on the incidence, pathophysiology, diagnosis, and management of rudimentary horn ectopic pregnancies, ii) presents a case of a rudimentary horn pregnancy at our academic centre, and iii) demonstrates the surgical technique for management.

Design

Case report.

Setting

A tertiary care centre.

Patients or Participants

A previously healthy 36-year-old gravida four, para one female.

Interventions

Transvaginal ultrasound and magnetic resonance imaging were used for diagnosis. The patient underwent laparoscopic excision of the pregnant rudimentary horn.

Measurements and Primary Results

The procedure was uncomplicated with minimal blood loss.

Conclusion

Rudimentary horn pregnancies carry a significant risk of morbidity and mortality, with a greater than 50% chance of rupture and significant hemorrhage. Therefore, surgical management should be considered.

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初生角异位妊娠1例报告

研究目的：本视频i)介绍了原发性角异位妊娠的发病率、病理生理学、诊断和治疗的背景，ii)介绍了我们学术中心的一例原发性角异位妊娠，iii)展示了治疗的外科技术。DesignCase报告。三级护理中心。患者或参与者既往健康，36岁，妊娠4期，第1段女性。介入：经阴道超声和磁共振成像诊断。患者接受了腹腔镜下妊娠角的切除。测量结果和主要结果手术过程简单，出血量最小。结论初生角妊娠有较高的发病率和死亡率，其破裂和出血的可能性大于50%。因此，应考虑手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.