Novel Management of Ectopic Pregnancy in a Noncommunicating Rudimentary Horn of a Unicornuate Uterus

被引：8
作者：
Herchelroath, Deborah [1 ]
Miller, Jena L. [2 ]
Wang, Karen C. [3 ,4 ]
机构：
[1] Vital Gynecol Aesthet & Wellness Lemoyne, Lemoyne, PA USA
[2] Johns Hopkins Ctr Fetal Therapy Baltimore, Baltimore, MD USA
[3] Johns Hopkins Hosp Baltimore, Dept Gynecol & Obstet, Baltimore, MD USA
[4] Johns Hopkins Hosp Baltimore, Dept Surg, Baltimore, MD USA
来源：
JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION | 2018年 / 118卷 / 09期
关键词：
ectopic pregnancy; rudimentary horn; unicomuate uterus;
D O I：
10.7556/jaoa.2018.137
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Pregnancy in a rudimentary horn is a rarely encountered form of ectopic pregnancy and is often an emergent situation because of the risk of rupture of the horn. A 31-year-old gravida 3 para 1 woman with 7 to 8 weeks' gestational age was found to have a viable pregnancy in a rudimentary noncommunicating horn of a unicomuate uterus. She elected termination of the pregnancy via local intracardiac lidocaine and intra-amniotic methotrexate injections. Subsequent removal of the rudimentary horn was necessary to prevent recurrence. Because of the risk of rupture, the diagnosis and management of an ectopic pregnancy in a rudimentary horn can be emergent.
引用
收藏
页码：623 / 626
页数：4
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