Rudimentary horn of uterus at term pregnancy in 1 case.docVIP

 PAGE \* MERGEFORMAT 7 Rudimentary horn of uterus at term pregnancy in 1 case [Keywords:] rudimentary uterine horn pregnancy; misdiagnosed; treatment Rudimentary horn of uterus, also known as relics of the dual-horn of uterus, fertilized eggs planted in the slot palace known as the residual of rudimentary uterine horn pregnancy in 1994, the French Star reported incidence is 1 / 40 000 ~ 1 / 10 000, has also been reported as 0.001% ~ 0.0082%, while the residual corner of rudimentary uterine horn is extremely rare complications. and the diagnosis is extremely difficult, preoperative diagnosis by less than 5% of the fertilized egg attached to the fallopian tube near the uterine cavity at the mouth or in the interstitial Ministry to the uterine side of the development, known as the uterine horn pregnancy. cornual pregnancy accounted for only 1.5% of all ectopic pregnancies to 4.2%, but mortality accounted for 20% of ectopic pregnancy, cornual pregnancy should not be strictly speaking is ectopic pregnancy. A medical record Pregnant women, 27 years old, G1P0, previous menstrual regularity, now 38 +3 weeks of menopause, no lower abdominal pain, no red, no vaginal fluid and blood, was at 9:20 on July 23, 2009 admission. Admission examination: T 36.8 ℃, P 80 times / min, R 20 times / min, BP 150/100 mm Hg. head no obvious abnormalities, thyroid not enlarged, superficial lymph nodes are not touched, thoracic symmetry, no deformity, cardiac auscultation is not known and markedly abnormal, heart rate regular, lung breath sounds clear, is not known, and wet and dry of rales, liver and spleen not palpable ribs, breast fullness, nipple convex, abdominal bulge, showing vertical oval, limbs freedom of movement, lower extremity edema grade Ⅰ , knee reflex exists, no varices, no spinal deformity. obstetric examination: abdominal circumference 106 cm, height of uterus bottom 33 cm, estimated fetal 4 000 g, measured outside the pelvis showed no abnormal, fetal position