Abstracts of the 23rd Annual congress of the European Society European Society (ESGE), 24th – 26th September 2014, SQUARE, BRUSSELS

• DOI: 10.1007/s10397-014-0857-1
• Publication Date: 2014-09-24T22:50:00Z
• Authors: Pedicles Minas; Lloyd Shaw; Thomas Aust; M.E. Orady; Cristiano Caetano...; M Pliszkiewicz; B Siekierski; G Stokluska; Marc Possover; N Freixa; Pere Barri-Soldevila; Alicia Úbeda; Laparascopic Hyst...; Indications Garbin; Lawrence H. Schwartz; Karolina Afors; Carolina Meza; Gabriele Centini; Ricardo A. S. Fer...; Rouba Murtada; Arnaud Wattiez; Gluteal Yao; S Kurotsuchi; M. Andou; Makoto Takano; K Ebisawa; Yoshitaka Ota
• Keywords: Interventional radiology; Square (algebra); Neuroradiology

OBJECTIVESPregnancy in a uterine rudimentary horn presents with an incidence of 1:100,000 pregnancies and carries high risk rupture severe potentially lethal intra-abdominal haemorrhage.Accurate pre-operative diagnosis can be difficult.Limited published evidence suggests that such cases may managed successfully by laparoscopy.A number authors have used destructive techniques to the fetus following excision horn, extract tissues laparoscopically.Pre-operative feticide is recommended where morcellation planned.We encountered live unruptured 11-week pregnancy woman one previous normal delivery at term.We aimed excise pregnant laparoscopically avoid ease patient's concerns.At laparoscopy particularly dilated vascular infundibulopelvic ligament was seen side horn.METHODS We demonstrate laparoscopic management case use extracorporeal Roeder knots secure unusually left ligament.We performed literature review using PubMed, Embase Cochrane Database Systematic Reviews identify relevant draw conclusions regards their management. RESULTSThe procedure completed laparoscopy.The excised haemostasis secured combination LigaSure™ knots.We extended our suprapubic port 3 cm thus avoided techniques.The estimated blood loss minimal.The recovery period uneventful she discharged home on day 1 post-operatively.At time this abstract written natural conception, date 16 May 2014.CONLCUSIONS There exists growing body (20 total, including present case).These include second trimester as well ruptured horn.We suggest when large pedicles, securing them safe alternative.In advanced gestations, patients must counselled pre-operatively about potential need for techniques.In cases, performed.We found anxiety alleviated knowledge extracted intact purpose we recommend small extension port.The possibility uncommon presentations duplicated or absent ureter should taken into account pre-operatively, identified intra-operatively.When expertise available, appears least superior laparotomy pregnancies.