Name: PowerPoint Presentation
Uploaded: 2024-11-18
Duration: 1 min 16 s
Description: [image] Isootl. FOCSI FEDERATION OF OBSTETRICS AND GYNAECOLOGICAL SOCIETIES DF INDIA COMMITTEES.

[image] Isootl. FOCSI FEDERATION OF OBSTETRICS AND GYNAECOLOGICAL SOCIETIES DF INDIA COMMITTEES. 

Scene 1

FOCSI
FEDERATION OF OBSTETRICS AND
GYNAECOLOGICAL SOCIETIES DF INDIA
COMMITTEES

TITLE:- RUPTURED RUDIMENTARY HORN PREGNANCY :           A RARE AND LIFE THREATENING OBSTETRIC EMERGENCY AUTHORS:- Dr TANIA ( PGT, OBGY ,GMCH) GUIDE:- Dr MRINALINI PEGU ( ASSISTANT PROFESSOR , GMCH)

Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the Mullerian ducts and incomplete fusion with the contralateral side. Conception in the rudimentary horn is very rare which is 1/76000 to 1/150000  and arises from small communication with uterine cavity or by transperitoneal migration of ovum from contralateral side.

29 years old primigravida at 31+2 weeks of gestation presented to Emergency in shock with severe pallor and severe abdominal pain.  Vitals were BP-80/60 mm hg, pulse rate – 113/min with GCS score-13/15

After initial resuscitation, patient was immediately taken for Emergency laparotomy under GA with 3 units blood in hand. All necessary investigations were sent simultaneously. Abdomen was opened following infraumbilical paramedian incision which revealed around three litre of hemoperitoneum. Fetus was delivered from the peritoneal cavity, weighing 1.1 kg. A  unicornuate uterus seen with rudimentary horn on the right side with rupture seen on posterior wall. Fortunately, patient's vitals got stabilized. Rapid assessment was done to evaluate communication between two horns by injecting normal saline via the rudimentary horn. Spillage into peritoneal cavity was observed confirming no other communication. Excision of the rudimentary horn along with ipsilateral salpingectomy was done. After assuring hemostasis, abdomen was closed in layers. Patient was stable postoperatively and was successfully discharged on day 6 .

PowerPoint Presentation

Scene 1 (0s)

Scene 2 (1m 9s)