Preview

Сибирский научный медицинский журнал

Advanced search

Pregnancy in the uterus rudimentary horn (literature review)

https://doi.org/10.18699/SSMJ20240114

Abstract

Pregnancy in the uterus rudimentary horn (PURH) is a rare form of ectopic pregnancy that develops in women suffering from abnormalities in the development of growth and fusion of the Mullerian paramesonephral ducts. A literature search was conducted in the Web of Science, eLIBRARY.ru, Scopus, PubMed/MEDLINE databases using key words “ectopic pregnancy”, “anomaly”, “complication”, “rudimentary uterine horn”, “diagnosis”, “management”. We selected articles published from 2014 to 2022. A methodological filter was not used to exclude the omission of suitable articles. The study included full-text papers and literary reviews on the subject under study, articles that are not directly related to the topic of PURH were excluded. In order to avoid the inclusion of duplicate publications in the literature review, if two papers by the same authors were found, the study period of each author was studied, and if the dates coincided, the most recent publication was selected. Usually, the PURH is overlooked and can lead to such a formidable complication as hemoperitoneum. Diagnosis and treatment of PURH remains a difficult task. Many women with rudimentary uterine horn have an acute rupture of the uterus during pregnancy. Early diagnosis is the key to successful treatment. Clinicians of various specialties should maintain a high degree of vigilance to prevent morbidity associated with this life-threatening condition.

About the Authors

A. N. Sulima
Georgievsky Medical Academy of Vernadsky Crimean Federal University
Russian Federation

Anna N. Sulima, doctor of medical sciences, professor 

295051, Simferopol, Lenina blvd., 5/7



Z. S. Rumyantseva
Georgievsky Medical Academy of Vernadsky Crimean Federal University
Russian Federation

Zoya S. Rumyantseva, candidate of medical sciences 

295051, Simferopol, Lenina blvd., 5/7



Yu. A. Kucherenko
Georgievsky Medical Academy of Vernadsky Crimean Federal University
Russian Federation

Yurii A. Kucherenko, candidate of medical sciences 

295051, Simferopol, Lenina blvd., 5/7



M. A. Dizha
Georgievsky Medical Academy of Vernadsky Crimean Federal University
Russian Federation

Margarita A. Dizha, candidate of medical sciences 

295051, Simferopol, Lenina blvd., 5/7



E. I. Nikolaeva
Georgievsky Medical Academy of Vernadsky Crimean Federal University
Russian Federation

Elizaveta I. Nikolaeva 

295051, Simferopol, Lenina blvd., 5/7



References

1. Sawada M., Kakigano A., Matsuzaki S., Takiuchi T., Mimura K., Kumasawa K., Endo M., Ueda Y., Yoshino K., Kimura T. Obstetric outcome in patients with a unicornuate uterus after laparoscopic resection of a rudimentary horn. J. Obstet. Gynaecol. Res. 2018;44(6):1080–1086. doi: 10.1111/jog.13622

2. Li X., Peng P., Liu X., Chen W., Liu J., Yang J., Bian X. The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience. PLoS One. 2019;25;14(1):e0210788. doi: 10.1371/journal.pone.0210788

3. Sanchez-Ferrer M.L., Prieto-Sanchez M.T., Sanchez Del Campo F. Variations in clinical presentation of unicornuate uterus with non-communicating rudimentary horn (class IIB of the American Fertility Society classification). Taiwan J. Obstet. Gynecol. 2018;57(1):110–114. doi: 10.1016/j.tjog.2017.12.018

4. Kasymova Z.N., Rakhimboeva N.U., Gazibekova J.M., Yakubova N.O. Pregnancyin the rudimentary uterine horn. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya = Bulletin of Postgraduate Education in Healthcare. 2020;(2):79–81. [In Russian].

5. Ambusaidi Q., Jha C. Pregnancy in the rudimentary uterine horn: Case report of an unusual presentation. Sultan Qaboos Univ. Med. J. 2014;14(1):e134–e138. doi: 10.12816/0003349

6. Strizhakov A.N., Olenev A.S., Latyshkevich O.A., Bogomazova I.M., Timokhina E.V., Ignatko I.V., Belousova V.S., Ibragimova S.M., Afanasyeva N.V., Ryabova S.G. Ectopic pregnancy in the rudimentary uterine horn. Akusherstvo i ginekologiya = Obstetrics and Gynecology. 2021;5:212–218. [In Russian]. doi: 10.18565/aig.2021.5.212-218

7. Ma Y.C., Law K.S. Pregnancy in a non-communicating rudimentary horn of unicornuate uterus. Diagnostics (Basel). 2022;21;12(3):759. doi: 10.3390/diagnostics12030759

8. Jiang Y., Zhong Y., Dong L., Zhan L., Li P., Guo F., Huang Z. Diagnosis and management of noncommunicating rudimentary horn pregnancy. Ginekol. Pol. 2022. doi: 10.5603/GP.a2021.0168

9. Brady P.C., Molina R.L., Muto M.G., Stapp B., Srouji S.S. Diagnosis and management of a heterotopic pregnancy and ruptured rudimentary uterine horn. Fertil. Res. Pract. 2018;4:6. doi: 10.1186/s40738-018-0051-7

10. Coakley K.E., Yang T.B., Chung J.H. Periviable delivery of a pregnancy in a rudimentary uterine horn: A case report. Case Rep. Womens Health. 2021;32:e00346. doi: 10.1016/j.crwh.2021.e00346

11. Sulima A.N., Rybalka A.N., Baskakov P.N., Korobov S.A., Khmara P.G. Pregnancy in the rudimental uterine horn: two clinical cases of successful treatment. Tavricheskiy Medico-biologicheskiy vestnik = Tauric Medico-Biological Bulletin. 2018;21(1):168–172. [In Russian].

12. Delic R. Pregnancy in a unicornuate uterus with non-communicating rudimentary horn: diagnostic and therapeutic challenges. Acta Med. Litu. 2020;27(2):84–89. doi: 10.15388/Amed.2020.27.2.6

13. Wang L., Ren S., Zhang Y., Liu W., Shi W. Non-communicated rudimentary uterine horn pregnancy and uterine rupture: A case report. SAGE Open Med. Case Rep. 2022;10:2050313X221104034. doi: 10.1177/2050313X221104034

14. Yassin A., Munaza S., Mohammed A. Tale of rudimentary horn pregnancy: case reports and literature review. J. Matern. Fetal Neonatal. Med. 2019;32(4):671–676. doi: 10.1080/14767058.2017.1387533

15. Agachac E., Peker N., Yavuz M., Fındık F.M., Evsen M.S., Gül T. Rudimentary horn pregnancy – ten years of experience. Ginekol. Pol. 2020;91(3):117–122. doi: 10.5603/GP.2020.0027

16. Ueda M., Ota K., Takahashi T., Suzuki S., Suzuki D., Kyozuka H., Jimbo M., Soeda S., Watanabe T., Fujimori K. Successful pregnancy and term delivery after treatment of unicornuate uterus with non-communicating rudimentary horn pregnancy with local methotrexate injection followed by laparoscopic resection: a case report and literature review. BMC Pregnancy Childbirth. 2021;21(1):715. doi: 10.1186/s12884-021-04195-5

17. Al Qarni A.A., Al-Braikan N., Al-Hanbali M.M., Alharmaly A.H. Rupture rudimentary horn pregnancy at 31 week. Saudi Med. J. 2017;38(2):201–203. doi: 10.15537/smj.2017.2.16016

18. Bruand M., Thubert T., Winer N., Gueudry P., Dochez V. Rupture of non-communicating rudimentary horn of uterus at 12 weeks’ gestation. Cureus. 2020;12(3):e7191. doi: 10.7759/cureus.7191

19. Dhanawat J., Pape J., Stuhlmann-Laeisz C., Maass N., Freytag D., Gitas G., Alkatout I. Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D-ultrasound and primary laparoscopic management. Clin. Case Rep. 2021;9(5):e04261. doi: 10.1002/ccr3.4261

20. Yassin A., Munaza S., Mohammed A. Tale of rudimentary horn pregnancy: case reports and literature review. J. Matern. Fetal Neonatal. Med. 2019;32(4):671–676. doi: 10.1080/14767058.2017.1387533

21. Herchelroath D., Miller J.L., Wang K.C. Novel management of ectopic pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus. J. Am. Osteopath. Assoc. 2018;118(9):623–626. doi: 10.7556/jaoa.2018.137

22. Rodrigues A., Neves A.R., Castro M.G., Branco M., Geraldes F., Aguas F. Successful management of a rudimentary uterine horn ectopic pregnancy by combining methotrexate and surgery: a case report. Case Rep. Womens Health. 2019;24:e00158. doi: 10.1016/j.crwh.2019.e00158

23. Brady P.C., Molina R.L., Muto M.G., Stapp B., Srouji S.S. Diagnosis and management of a heterotopic pregnancy and ruptured rudimentary uterine horn. Fertil. Res. Pract. 2018;4:6. doi: 10.1186/s40738-018-0051-7

24. Bruand M., Thubert T., Winer N., Gueudry P., Dochez V. Rupture of non-communicating rudimentary horn of uterus at 12 weeks’ gestation. Cureus. 2020;12(3):e7191. doi: 10.7759/cureus.7191

25. Anwari L. Prerupture diagnosis of a pregnant rudimentary uterine horn. Radiol. Case Rep. 2021;16(4):764–768. doi: 10.1016/j.radcr.2021.01.029

26. Bhagavath B., Lindheim S.R. Surgical management of interstitial (cornual) ectopic pregnancy: many ways to peel an orange! Fertil. Steril. 2021;115(5):1193–1194. doi: 10.1016/j.fertnstert.2021.03.016

27. Han L., Shi G., Ruan J. Laparoscopic management of a cornual pregnancy coexistent with intrauterine pregnancy. Asian J. Surg. 2022;45(1):641–642. doi: 10.1016/j.asjsur.2021.11.005

28. Finlinson A.R., Bollig K.J., Schust D.J. Differentiating pregnancies near the uterotubal junction (angular, cornual, and interstitial): a review and recommendations. Fertil. Res. Pract. 2020;6:8. doi: 10.1186/s40738-020-00077-0

29. Parker B.M., Gupta A.K., Lymperopoulos A., Parker J. Methotrexate for cornual ectopic pregnancy. Cureus. 2020;12(8):e9642. doi: 10.7759/cureus.9642

30. Varun N., Nigam A., Elahi A.A., Jain A. Cornual ectopic pregnancy: laparoscopic management step by step. BMJ Case Rep. 2018;2018:bcr2017223998. doi: 10.1136/bcr-2017-223998

31. Dagar M., Srivastava M., Ganguli I., Bhardwaj P., Sharma N., Chawla D. Interstitial and cornual ectopic pregnancy: conservative surgical and medical management. J. Obstet. Gynaecol. India. 2018;68(6):471–476. doi: 10.1007/s13224-017-1078-0

32. Tuncay G., Karaer A., Coskun E.I., Melekoglu R. Treatment of unruptured cornual pregnancies by local injections of methotrexate or potassium chloride under transvaginal ultrasonographic guidance. Pak. J. Med. Sci. 2018;34(4):1010–1013. doi: 10.12669/pjms.344.14600

33. Tinelli R., Stomati M., Surico D., Cicinelli E., Trojano G., Angioni S. Laparoscopic management of a cornual pregnancy following failed methotrexate treatment: case report and review of literature. Gynecol. Endocrinol. 2020;36(8):743–745. doi: 10.1080/09513590.2020.1716328

34. Bettaiah R., Kamath S. Intramyometrial injection of vasopressin: A novel method for hemostasis at laparoscopic management of cornual ectopic. J. Minim. Invasive Gynecol. 2017;24(7):1071–1072. doi: 10.1016/j.jmig.2017.04.005.

35. Kaveh M., Mehdizadeh Kashi A., Sadegi K., Forghani F. Pregnancy in non-communicating rudimentary horn of a unicornuate uterus. Int. J. Fertil. Steril. 2018;11(4):318–320. doi: 10.22074/ijfs.2018.5022


Review

For citations:


Sulima A.N., Rumyantseva Z.S., Kucherenko Yu.A., Dizha M.A., Nikolaeva E.I. Pregnancy in the uterus rudimentary horn (literature review). Сибирский научный медицинский журнал. 2024;44(1):139-146. (In Russ.) https://doi.org/10.18699/SSMJ20240114

Views: 1035


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2410-2512 (Print)
ISSN 2410-2520 (Online)