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Avoiding the fatal misdiagnosis of pregnancy in a noncommunicating rudimentary horn using 3D transvaginal ultrasound
Author(s) -
Walker Christopher,
Collins Laura,
Pham Amanda,
George Joshua,
Johnson Samuel
Publication year - 2020
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22836
Subject(s) - bicornuate uterus , unicornuate uterus , medicine , laparotomy , pregnancy , complication , ectopic pregnancy , uterus , obstetrics , mullerian ducts , ultrasound , french horn , gynecology , uterine horns , surgery , radiology , psychology , pedagogy , biology , genetics
Rudimentary horn pregnancies are an increasingly recognized complication of Mullerian duct anomalies. They can lead to uterine rupture with severe maternal morbidity and mortality. We present the case of a 28‐year‐old woman with a prior surgical diagnosis of bicornuate uterus who was diagnosed with a 7‐week pregnancy in the left horn of a bicornuate uterus by 2D ultrasound. Further investigation with 3D ultrasound revealed that the pregnancy was within a noncommunicating rudimentary horn of a unicornuate uterus. These findings were confirmed at laparotomy. This case illustrates the importance and benefits of utilizing 3D ultrasound in diagnosing suspected Mullerian anomalies.