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Rupture of rudimentary uterine horn pregnancy clinical analysis of 3 cases
PAGE \* MERGEFORMAT 8
Rupture of rudimentary uterine horn pregnancy clinical analysis of 3 cases
[Abstract] Objective To investigate the rudimentary uterine horn pregnancy in the clinical features, diagnosis and treatment. Methods From 12 years were treated 3 cases of rudimentary uterine horn pregnancy were analyzed retrospectively. Results 3 patients were surgical exploration confirmed. Conclusion rudimentary uterine horn pregnancy morbidity low, the early signs and symptoms are not typical, pre-pregnancy and early pregnancy ultrasound can help diagnose, once a clear diagnosis, it is timely surgery.
[Keywords:] rudimentary horn; pregnancy; break; surgery
Rudimentary horn is an abnormal uterus, deputy in the side for the fetal period due to renal tubular dysgenesis. Rudimentary uterine horn pregnancy rate of 0.001% ~ 0.0082%, the clinical relatively rare, often misdiagnosed and the emergence of serious complications Therefore, a definite diagnosis as early as possible. 3 cases in our hospital are rudimentary uterine horn pregnancy rupture data review is as follows.
1 Clinical data
Example 1, the patient, 20 years old, pregnant and a middle 0, stop for 5 months, lower abdominal pain 7 h, ultrasound showed ascites admitted to hospital. Postmenopausal often abdominal pain, no checks. For unmarried pregnant at 5 months in the local hospital to be OK induction technique, the occupancy is 2 h after the drug has not protruding lower abdomen pain, no vaginal bleeding, be treated no better pain relief, emergency into our hospital, ultrasound showed abdominal pregnancy, uterine pregnancy may be corner, placental abnormalities (more than seen in the size of ranging from anechoic area). fetus may be seen in front of a womb-like echo, the size of about 6.7 cm × 3.5 cm × 3.3 cm. peritoneal large effusion, spleen and liver and gallbladder ultrasound was normal. examination: BP is not detected, abdominal distension, muscle tension, Palace unclear palpable abdom
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