Future perspective:
A hypothetical treatment option could be this that product of conception
is removed from the rudimentary horn laparoscopically, and the
rudimentary horn and the main horn united by Laparoscopic Strassman’s
Metroplasty. This could increase the uterine cavity area for pregnancy
and probably restore better reproductive outcome. But feasibility of
surgery, and obstetrical morbidity of the patient will have to be seen,
and will require great deal of counselling of the couple. Such
procedures have been done before for treatment of hematometraand chronic
pelvic pain with fairly good outcome [18].
Acknowledegment: Markus Voll for drawing the schematic
anatomical diagram.
Conflict of interest: The authors declare that there is no
conflict of interest regarding the publication of this article.
Funding : Kiel School of Endoscopy.
Supplementary Material: Video demonstrating the laparoscopic
excision of pregnant rudimentary horn (Video 1).
Authorship
Author 1: Researched the subject, collected data, drafted and revised
the manuscript.
Author 2: Researched the subject, collected data, edited the case video
and figures.
Author 3: Main pathologist involved in the case, provided the
histopathological pictures.
Author 4: Researched the subject, collected data, and revised the
manuscript.
Author 5: Researched the subject, collected data, and revised the
manuscript.
Author 6: Researched the subject, collected data, and revised the
manuscript.
Author 7: Researched the subject, did final editing of the manuscript.
He is the treating surgeon.
All authors have read the final version of the manuscript and approve
the same.