{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:41Z","timestamp":1787071541952,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pregnancy in a noncommunicating uterine horn (NCUH) is extremely rare and torsion of the pregnant horn is even rarer. Only a few cases have been reported so far. Diagnosis of such extraordinary pathologies can be challenging, and this often leads to misdiagnosis and delay in appropriate treatment. We present the case of a NCUH pregnancy which was initially misdiagnosed on ultrasound and treated with standard miscarriage management regimen. Ongoing symptoms and suspicion of sepsis prompted surgical treatment, and laparoscopy revealed a torted NCUH pregnancy, completely distinct from the unicornuate uterus. The rarity in our case was not only conception in a noncommunicating horn but also the complete torsion of the gravid horn and ipsilateral adnexa. This shows the complexities of dealing with rare uterine abnormalities and highlights the importance of a high degree of clinical suspicion and consideration of atypical presentations of an anomalous uterus, especially if medical treatment fails.<\/jats:p>","DOI":"10.4103\/gmit.gmit_34_22","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T17:00:38Z","timestamp":1760115638000},"page":"355-358","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Torsion in a Pregnant Noncommunicating Uterine Horn \u2013 Journey from Misdiagnosis to Laparoscopic Management: A Case Report"],"prefix":"10.4103","volume":"14","author":[{"given":"Megha","family":"Dharamdasani","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Royal Sussex County Hospital, University Hospitals Sussex, Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Princess Royal Hospital, University Hospitals Sussex, Haywards Heath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shafia","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Princess Royal Hospital, University Hospitals Sussex, Haywards Heath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"R1-20251107","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1111\/1471-0528.15968","article-title":"Royal College of Obstetricians and Gynaecologists. Reproductive implications and management of congenital uterine anomalies: Scientific impact paper no.62 November 2019","volume":"127","author":"Akhtar","year":"2020","journal-title":"BJOG"},{"key":"R2-20251107","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/s12905-019-0768-4","article-title":"Unicornuate uterus with a rudimentary non-communicating cavitary horn in association with VACTERL association: Case report","volume":"19","author":"Obeidat","year":"2019","journal-title":"BMC Womens Health"},{"key":"R3-20251107","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s00404-006-0232-1","article-title":"An early diagnosis and successful local medical treatment of a rudimentary uterine horn pregnancy: A case report","volume":"275","author":"Sevtap","year":"2007","journal-title":"Arch Gynecol Obstet"},{"key":"R4-20251107","doi-asserted-by":"crossref","first-page":"113","DOI":"10.4103\/0974-1208.69335","article-title":"A rare case of intact rudimentary horn pregnancy presenting as hemoperitoneum","volume":"3","author":"Jain","year":"2010","journal-title":"J Hum Reprod Sci"},{"key":"R5-20251107","first-page":"e134","article-title":"Pregnancy in the rudimentary uterine horn: Case report of an unusual presentation","volume":"14","author":"Ambusaidi","year":"2014","journal-title":"Sultan Qaboos Univ Med J"},{"key":"R6-20251107","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1007\/s00404-009-1028-x","article-title":"Successful twin pregnancy in a unicornuate uterus with one fetus in the non-communicating rudimentary horn","volume":"280","author":"Nanda","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"R7-20251107","first-page":"151","article-title":"Rudimentary uterine horn pregnancy. The 20th-century worldwide experience of 588 cases","volume":"47","author":"Nahum","year":"2002","journal-title":"J Reprod Med"},{"key":"R8-20251107","article-title":"Torsion and rupture of a non-communicating rudimentary horn in a 17-week gestation in a 16-year-old girl: Lessons learnt","author":"Kumar","year":"2018","journal-title":"BMJ Case Rep 2018"},{"key":"R9-20251107","doi-asserted-by":"crossref","first-page":"E233","DOI":"10.1148\/rg.326125515","article-title":"Imaging of m\u00fcllerian duct anomalies","volume":"32","author":"Behr","year":"2012","journal-title":"Radiographics"},{"key":"R10-20251107","doi-asserted-by":"crossref","first-page":"219","DOI":"10.7863\/jum.2005.24.2.219","article-title":"Rudimentary horn pregnancy: First-trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging","volume":"24","author":"Tsafrir","year":"2005","journal-title":"J Ultrasound Med"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_34_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:47:52Z","timestamp":1787068072000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.gmit_34_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_34_22","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2022-02-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}