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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (5): 702-706    DOI: 10.12891/ceog3996.2018
Original Research Previous articles | Next articles
Rudimentary uterine horn pregnancy in 15 cases: case series with a two-year follow-up
Chunbo Yang1, Binya Chen1, Yonghong Tian1, Yong Zhou1, Junhua Shen1, Hangmei Jin1, *(), Jun Lin1
1 Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China
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Abstract  
Purpose: The aim of this study was to understand and investigate the reproductive outcomes of patients with rudimentary horn pregnancies after surgical removal of the rudimentary horn. Materials and Methods: The clinical records, including age, obstetric history, gestational age (weeks), presenting feature, preoperative diagnosis, intraoperative diagnosis, blood loss, and surgical management of women who were diagnosed with pregnancy in the rudimentary horn from 2006 to 2010 were reviewed in this retrospective study. The reproductive outcomes of these women that underwent surgical removal of the rudimentary horn were also recorded during the two-year follow-up period. Results: Fifteen women diagnosed with rudimentary horn pregnancies were included in this study and non-communicating horn was accounted for 87.3% of these cases. The gestation periods of them varied from six to 26 weeks. Rupture of the uterine wall occurred in three cases (20%) and no maternal deaths were observed. Eleven patients underwent laparotomy for rudimentary horn removal and four underwent laparoscopic removal. During the two-year follow-up period, ten out of 15 patients (66.7%) became pregnant and seven of them delivered babies, whereas two asked for medical abortion, and only one had spontaneous abortion during the first trimester. Among the seven women giving live births, three of them were vaginally delivered and four were by cesarean section, five women were term pregnancy, and the other two women gave birth prematurely. Conclusion: This study indicates that the early diagnosis, proper consultation, and quick surgical treatment in patients with rudimentary horn pregnancies are necessary.
Key words:  Rudimentary horn pregnancy      Non-communicating horn      Rudimentary horn removal      Reproductive outcome     
Published:  10 October 2018     
*Corresponding Author(s):  HANGMEI JIN     E-mail:  jinhm@zju.edu.cn

Cite this article: 

Chunbo Yang, Binya Chen, Yonghong Tian, Yong Zhou, Junhua Shen, Hangmei Jin, Jun Lin. Rudimentary uterine horn pregnancy in 15 cases: case series with a two-year follow-up. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(5): 702-706.

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https://ceog.imrpress.com/EN/10.12891/ceog3996.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I5/702

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