PMC6162954_01
T2-weighted pelvic MRI at 17 weeks gestational age, with thin left uterine horn myometrial thickness (indicated with a white arrow), with a known amniotic band
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Fig1
An MRI at an outside hospital demonstrated a thin myometrial wall (thickness not reported) in the left uterine horn without myometrial disruption, but with moderate pelvic free fluid (Fig. 1).
Three-dimensional ultrasound revealing the fetuses in the right (R) and left (L) horns. The thinned myometrial wall is indicated with the white arrow
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Fig2
The myometrium over the left horn was noted to be "markedly thinned" superiorly (Fig. 2).
a Intraoperative photograph of rupture of the left uterine horn (indicated with an arrow). b Photo of excised rudimentary left uterine horn, with two rupture sites indicated with arrows
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Fig3
Immediately after this procedure, the patient underwent laparoscopy, at which point she was noted to have a right unicornuate uterus with a rudimentary left uterine horn, with 2 cm rupture on the superior surface with amnion protruding (Fig. 3), and moderate hemoperitoneum.