Hand-assisted Laparoscopic Management of a Midtrimester Rudimentary Horn Pregnancy with Placenta Increta: A Case Report and Literature Review

Karenrose R. Contreras, Jeffrey M. Rothenberg, Michelle A. Kominiarek, Gregory J. Raff*

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Pregnancy in a rudimentary horn is an extremely rare but serious obstetric condition. It is associated with uterine rupture and increased maternal mortality. The standard treatment is excision of the pregnancy and rudimentary horn. Several case reports describe a successful laparoscopic approach for rudimentary horn pregnancies diagnosed in the first trimester. A midtrimester rudimentary horn pregnancy was managed with a hand-assisted laparoscopic technique. This patient sought prenatal care at 19 weeks without any symptoms. A routine ultrasound found an empty uterus and an abdominal pregnancy was suggested. She subsequently had a hand-assisted laparoscopic delivery of a 19-week fetus with excision of the left-sided noncommunicating rudimentary horn. Intraoperative and pathologic findings were both consistent with a noncommunicating uterine horn pregnancy with placenta increta. Midtrimester rudimentary horn pregnancy can be successfully managed via hand-assisted laparoscopy in a patient who is hemodynamically stable.

Original languageEnglish (US)
Pages (from-to)644-648
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume15
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Ectopic pregnancy
  • Hand-assisted, laparoscopy
  • Müllerian anomalies
  • Placenta increta
  • Rudimentary horn pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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