Robotic Assisted Resection of a Non-Communicating Uterine Horn Ectopic Pregnancy

Abstract

Abstract

Background: Anomalies of the female reproductive tract have been associated with poor pregnancy outcomes. In the case of an ectopic pregnancy, these risks are especially high. Case: A 29-year-old, gravida 1 female with a pregnancy at 9 weeks' gestational age, who presented for care, was found to have a uterine-horn ectopic pregnancy. Imaging confirmed the presence of a unicornuate uterus with the pregnancy located in a noncommunicating uterine horn. Excision of the ectopic pregnancy was recommended, and the patient underwent a robotic assisted resection of the noncommunicating rudimentary uterine horn and the pregnancy. Results: There were no postoperative complications. The patient's pathology was consistent with a tubal/cornual ectopic pregnancy. She stated that she would like to conceive in the future. Any future pregnancies in this patient will need to be monitored closely because of her risk of a higher complication rate. Conclusions: This is the first reported case describing a robotic approach as a feasible treatment option to minimize risk and complications. In the past, the patient in this case would likely have undergone an open procedure at risk for high blood loss and a prolonged recovery time. With the use of this approach, the patient underwent an uncomplicated, minimally invasive procedure with minimal blood loss. (J GYNECOL SURG 32:242)