Novel management of ectopic pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus

Deborah Herchelroath, Jena L. Miller, Karen C. Wang

Research output: Contribution to journalArticlepeer-review

Abstract

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 unicornuate 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.

Original languageEnglish (US)
Pages (from-to)623-626
Number of pages4
JournalJournal of the American Osteopathic Association
Volume118
Issue number9
DOIs
StatePublished - Sep 2018

Keywords

  • Ectopic pregnancy
  • Rudimentary horn
  • Unicornuate uterus

ASJC Scopus subject areas

  • Complementary and alternative medicine

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