Document Detail

Failure of prostaglandin induction labor in a Müllerian abnormality.
MedLine Citation:
PMID:  20182737     Owner:  NLM     Status:  MEDLINE    
Rudimentary-horn pregnancy (RHP) is a rare condition which is usually presented as a rupture of the pregnant horn during the second or third trimester, resulting in life-threatening bleeding. The authors report two cases of RHP which were diagnosed at the time of labor induction following fetal death diagnosis. Although the failure of prostaglandin induction to initiate labor could suggest that an additional obstructive Müllerian uterine anomaly is present, a directed investigation of such anomaly is more acceptable in cases of antepartum fetal death or atypical mid-trimester abdominal pain. Therefore, a high index of suspicion combined with clinical and imagiological findings are important to establish a correct diagnosis of pre-rupture RHP.
Rita Abreu; Sousa Barros; Ondina Jardim; Clara Morais
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-25
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  282     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-10-14     Revised Date:  2011-04-22    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  143-7     Citation Subset:  IM    
Department of Obstetrics, Coimbra University Hospital, Coimbra, Portugal.
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MeSH Terms
Fallopian Tubes / surgery
Fetal Death / etiology*,  surgery,  ultrasonography
Labor, Induced*
Mullerian Ducts / abnormalities*,  ultrasonography
Pregnancy Trimester, Second
Prostaglandins / administration & dosage*
Treatment Failure
Uterine Rupture / etiology
Uterus / abnormalities*
Reg. No./Substance:
Comment In:
Arch Gynecol Obstet. 2011 Apr;283(4):917-8   [PMID:  20830482 ]

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