Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D-ultrasound and primary laparoscopic management

Juhi Dhanawat; Julian Pape; Christiane Stuhlmann-Laeisz; Nicolai Maass; Damaris Freytag; Georgios Gitas; Ibrahim Alkatout

doi:10.1002/ccr3.4261

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D-ultrasound and primary laparoscopic management

Clin Case Rep. 2021 May 24;9(5):e04261. doi: 10.1002/ccr3.4261. eCollection 2021 May.

Authors

Juhi Dhanawat¹, Julian Pape¹, Christiane Stuhlmann-Laeisz², Nicolai Maass¹, Damaris Freytag¹, Georgios Gitas³, Ibrahim Alkatout¹

Affiliations

¹ Department of Gynecology and Obstetrics University Hospitals Schleswig-Holstein Kiel Germany.
² Institute of Pathology University Hospitals Schleswig-Holstein Kiel Germany.
³ Department of Gynaecology and Obstetrics University Hospitals Schleswing-Holstein Leubeck Germany.

Abstract

Unicornuate uterus with pregnancy in the noncommunicating rudimentary horn is extremely rare. Diagnosis requires awareness, high suspicion index, 3D ultrasound, and MRI. If missed, it can be catastrophic. Treatment varies across literature. We present a case where detection was done by 3D ultrasound and primary laparoscopic surgery done for treatment.

Keywords: 3D ultrasound; laparoscopy; rudimentary horn pregnancy; unicornuate uterus.

Publication types

Case Reports