A Case Report of Preoperative Diagnosis and Laparoscopic Resection of a Non-communicating Rudimentary Uterine Horn Pregnancy

In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2008 · vol. 24(2) , pp. 341–344 · doi:10.5180/jsgoe.24.341 · W2318915525
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AI-generated summary by claude@2026-06, 2026-06-10

This case report describes the successful laparoscopic resection of a non-communicating rudimentary uterine horn pregnancy, which was preoperatively diagnosed using ultrasonography, hysterofiberscopy, and MRI.

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AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text

This case report describes a rare Müllerian duct anomaly (a unicornate uterus with a non-communicating rudimentary horn) complicated by a rudimentary horn pregnancy, which the authors note can lead to serious gynecologic and obstetric outcomes. The pregnancy was diagnosed preoperatively using ultrasonography, hysterofiberscopy, and magnetic resonance imaging, and the authors performed laparoscopic resection rather than the traditionally used laparotomy, which is often favored when massive hemorrhage is expected or the pregnancy is too large. The main caveat is that, as a single case report, the findings cannot establish broader safety or effectiveness. Relevance to endometriosis: the paper explicitly mentions that this uterine anomaly can cause endometriosis leading to acute pelvic pain, though the report’s main focus is preoperative diagnosis and laparoscopic management of rudimentary uterine horn pregnancy.

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Abstract

A unicornate uterus with a rudimentary horn is a rare Müllerian duct abnormality. This uterine anomaly may cause variable gynecologic complications, including hematometra, endometriosis leading to acute pelvic pain, infertility, and obstetric complications, including miscarriage, preterm delivery, and rupture of the uterus, especially when the pregnancy implants in the rudimentary horn. To date, the standard treatment for the latter condition has been laparotomy, as patients usually experience massive abdominal hemorrhage or pregnancies too large to attempt laparoscopic removal. We report a case of a non-communicating rudimentary uterine horn pregnancy which was preoperatively diagnosed by ultrasonography, hysterofiberscopy, and magnetic resonance imaging, and then subsequently resected laparoscopically.
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A Case Report of Preoperative Diagnosis and Laparoscopic Resection of a Non-communicating Rudimentary Uterine Horn Pregnancy 2008 Volume 24 Issue 2 Pages 341-344 Details Abstract A unicornate uterus with a rudimentary horn is a rare Müllerian duct abnormality. This uterine anomaly may cause variable gynecologic complications, including hematometra, endometriosis leading to acute pelvic pain, infertility, and obstetric complications, including miscarriage, preterm delivery, and rupture of the uterus, especially when the pregnancy implants in the rudimentary horn. To date, the standard treatment for the latter condition has been laparotomy, as patients usually experience massive abdominal hemorrhage or pregnancies too large to attempt laparoscopic removal. We report a case of a non-communicating rudimentary uterine horn pregnancy which was preoperatively diagnosed by ultrasonography, hysterofiberscopy, and magnetic resonance imaging, and then subsequently resected laparoscopically. © JAPAN SOCIETY OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY AND MINIMALLY INVASIVE THERAPY Favorites & Alerts Recently viewed articles

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