Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

Pillai SA; Silja A Pillai; Mathew M; Mariam Mathew; Noreen Ishrat; Ishrat N; Anupam Kakaria; Kakaria A; Qureshi A; Asim Qureshi; Gowri Vaidyanathan; Vaidyanathan G

doi:10.18295/squmj.2015.15.03.021

Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage

Pillai SA, Silja A Pillai, Mathew M, Mariam Mathew, Noreen Ishrat, Ishrat N, Anupam Kakaria, Kakaria A, Qureshi A, Asim Qureshi, Gowri Vaidyanathan, Vaidyanathan G

Sultan Qaboos University medical journal · 2015 · vol. 15(3) , pp. e429–32 · doi:10.18295/squmj.2015.15.03.021 · PMID:26357563 · PMC4554282

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This case report describes the successful fetal salvage of a 32-week rudimentary horn pregnancy rupture diagnosed via preoperative MRI, highlighting the modality’s diagnostic utility in this obstetric emergency.

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The provided text appears to be a collection of unrelated snippets, primarily focusing on dental health, chronic pain management, and general lifestyle advice, rather than a coherent research article. The title "Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage" is present, but the accompanying body text does not contain any abstract, methods, results, or discussion related to this obstetric case. Consequently, it is impossible to summarize the study's population, methods, or key findings based on the available information. Relevance to endometriosis: The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Pregnancy in a rudimentary horn is very rare. The rupture of the horn during pregnancy is an obstetric emergency which can be life-threatening for both the mother and fetus. Preoperative diagnosis of such pregnancies can be challenging and they are usually diagnosed intraoperatively. We report a unique case of a 31-year-old multiparous woman who presented to the Sultan Qaboos University Hospital in Muscat, Oman, in January 2013 at 32 gestational weeks with abdominal pain. Ultrasonography was inconclusive. A rudimentary horn pregnancy was subsequently diagnosed via magnetic resonance imaging (MRI). An emergency laparotomy revealed haemoperitoneum and a ruptured rudimentary horn pregnancy. A live baby with an Apgar score of 2 at one minute and 7 at five minutes was delivered. The rudimentary horn with the placenta in situ was excised and a left salpingo-oophorectomy was performed. The postoperative period was uneventful. The authors recommend MRI as an excellent diagnostic modality to confirm rudimentary horn pregnancies and to expedite appropriate management.

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