Five cases of rudimentary uterine horn pregnancy diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 7 Five cases of rudimentary uterine horn pregnancy diagnosis and treatment of [Keywords:] rudimentary uterine horn pregnancy false labor signs of fetal death Rudimentary horn pregnancy is within the fertilized egg implantation in the uterus and rudimentary horn growth and development, occurred in the primipara. Clinically rare, and because the error rate of misdiagnosis is high, the low rate of preoperative diagnosis is often delayed treatment, leading to Rupture of rudimentary uterine horn pregnancy, intra-abdominal hemorrhage, severe shock, and even endanger the lives of pregnant women. now in our hospital from 1997 to 2006 among 5 cases of rudimentary uterine horn pregnancy diagnosis and treatment were analyzed retrospectively to enable early detection, early timely diagnosis and appropriate treatment for reference. Materials and Methods 1. Clinical data for the hospital patients in 5 cases of pregnant women, aged 21 to 30 years old, 16 to 39 weeks gestational age, were primipara. Preoperative diagnosis of rudimentary horn pregnancy in only 1 case, 4 cases of rudimentary uterine horn rupture , 3 of them considered ruptured ectopic pregnancy, 1 case of double uterus in pregnancy diagnosis and pregnancy in the left uterine rupture, admitted later surgery confirmed cases of rudimentary uterine horn pregnancy .5 1 case in the fetus did not survive. clinical manifestations in early pregnancy have a “pregnancy” reactions, such as nausea, vomiting, abdominal pregnancy, with the increase of the month, 4 more than a month before they have the conscious pregnant fetal movement, the occurrence of rupture for the tear-like pain, severe abdominal pain, with dizziness, anal heavy feeling. laboratory tests blood WBC 7.7 109 ~ 14.7 109 / L, RBC 1.67 1012 ~ 2.94 1012 / L, HGB 54 ~ 87 g / L, B super show fetal death only, the mother of ascites . electrocardiogram showed tachycardia in 2 cases, 1 case later than normal labor at 39 weeks ges