[Rudimentary horn pregnancy: an unusual cause of spontaneous hemoperitoneum during the second-trimester of pregnancy]

M Allouche, Michael Allouche, Yann Tanguy Le Gac, Y Tanguy le Gac, Olivier Parant, O Parant
Gynecologie, obstetrique & fertilite · 2011 · vol. 39(2) , pp. e44–e46 · doi:10.1016/j.gyobfe.2010.08.032 · PMID:21292527 · W2150425077
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This case report describes a rare instance of spontaneous hemoperitoneum in the second trimester of pregnancy caused by the rupture of a pregnancy within a rudimentary uterine horn.

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Abstract

Spontaneous hemoperitoneum during pregnancy is an unusual but serious event. We report a case of profuse spontaneous hemoperitoneum resulting from the rupture of a non-communicating rudimentary uterine horn at 26 weeks of gestation. An emergency laparotomy was performed and a 900 g birth weight safe infant was delivered. We performed a hemi-hysterectomy in the same time. Fetal and maternal outcomes resulted without complication. Causes of spontaneous hemoperitoneum are discussed.

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MeSH descriptors

Hemoperitoneum Pregnancy Complications Uterine Rupture Uterus Adult Female Gestational Age Hemoperitoneum Hemoperitoneum Humans Hysterectomy Infant, Newborn Infant, Premature Pelvic Pain Pregnancy Pregnancy Complications Pregnancy Complications Pregnancy Outcome Uterine Rupture Uterine Rupture

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