Case Report  |   September 2018
Novel Management of Ectopic Pregnancy in a Noncommunicating Rudimentary Horn of a Unicornuate Uterus
Author Notes
  • From Vitality Gynecology, Aesthetics & Wellness in Lemoyne, Pennsylvania (Dr Herchelroath); the Johns Hopkins Center for Fetal Therapy in Baltimore, Maryland (Dr Miller); and the Departments of Gynecology & Obstetrics and Surgery at Johns Hopkins Hospital in Baltimore, Maryland (Dr Wang). 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Deborah Herchelroath, DO, Vitality Gynecology, Aesthetics & Wellness, 1035 Mumma Rd, Ste 301, Lemoyne, PA 17043-1147. Email: drh@vitalitygyn.com
     
Article Information
Obstetrics and Gynecology / Pediatrics
Case Report   |   September 2018
Novel Management of Ectopic Pregnancy in a Noncommunicating Rudimentary Horn of a Unicornuate Uterus
The Journal of the American Osteopathic Association, September 2018, Vol. 118, 623-626. doi:10.7556/jaoa.2018.137
The Journal of the American Osteopathic Association, September 2018, Vol. 118, 623-626. doi:10.7556/jaoa.2018.137
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.

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