Online Video Research Articles

Creepypasta and “the Fabrègues Affair”: Imitation and aggression in a recent case of youth violence

This article offers a critical analysis of “the Fabrègues Affair” (2022), a case of youth violence in which two twelve-year-old girls carried out a series of stabbings, resulting in the death of one of their fathers. What was initially viewed as a simple “family tragedy [ drame intrafamilial]” ballooned into a national conversation when the girls claimed, after their arrest, that their violent act had been inspired by “creepypasta,” crowdsourced online horror fictions and videos. While the crime, in its purported relation to digital forms of storytelling, appears eminently specific to the present moment, and while news coverage consistently emphasized the girls’ femininity and sexual orientation in an apparent attempt to further sensationalize their act, the conventional wisdom, as it appears in media coverage of the case, exposes a striking reliance among commentators on outdated psychoanalytic models that do not attend to the specificities of the moment, or to questions of gender and sexuality. This article explores how theories of the relationship between imitation and aggression have been applied in “the Fabrègues Affair” before proposing alternative feminist approaches to understanding the social phenomenon of violent behaviors among girls who appear to draw inspiration from imaginary monsters. In doing so, it aims to contribute new perspectives, drawn from feminist theory and horror studies, to girlhood and childhood studies in the contemporary French context.

Trustworthy High-Performance Multiplayer Games with Trust-but-Verify Protocol Sensor Validation.

Multiplayer online video games are a multibillion-dollar industry, to which widespread cheating presents a significant threat. Game designers compromise on game security to meet demanding performance targets, but reduced security increases the risk of potential malicious exploitation. To mitigate this risk, game developers implement alternative security sensors. The alternative sensors themselves become a liability due to their intrusive and taxing nature. Online multiplayer games with real-time gameplay are known to be difficult to secure due to the cascading exponential nature of many-many relationships among the components involved. Behavior-based security sensor schemes, or referees (a trusted third party), could be a potential solution but require frameworks to obtain the game state information they need. We describe our Trust-Verify Game Protocol (TVGP), which is a sensor protocol intended for low-trust environments and designed to provide game state information to help support behavior-based cheat-sensing detection schemes. We argue TVGP is an effective solution for applying an independent trusted referee capability to trust-lacking subdomains and demands high-performance requirements. Our experimental results validate high efficiency and performance standards for TVGP. We identify and discuss the operational domain assumptions of the TVGP validation testing presented here.

Motives for Playing Video Games as Predictors of Life Satisfaction in Croatian Players of Online Video Games

Motives for Playing Video Games as Predictors of Life Satisfaction in Croatian Players of Online Video Games

Understanding the Interaction between Delivery Robots and Other Road and Sidewalk Users: A Study of User-generated Online Videos

The deployment of autonomous delivery robots in urban environments presents unique challenges in navigating complex traffic conditions and interacting with diverse road and sidewalk users. Effective communication between robots and road and sidewalk users is crucial to address these challenges. This study investigates real-world encounter scenarios where delivery robots and road and sidewalk users interact, seeking to understand the essential role of communication in ensuring seamless encounters. Following an online ethnography approach, we collected 117 user-generated videos from TikTok and their associated 2067 comments. Our systematic analysis revealed several design opportunities to augment communication between delivery robots and road and sidewalk users, which include facilitating multi-party path negotiation, managing unexpected robot behaviour via transparency information, and expressing robot limitations to request human assistance. Moreover, the triangulation of video and comments analysis provides a set of design considerations to realise these opportunities. The findings contribute to understanding the operational context of delivery robots and offer insights for designing interactions with road and sidewalk users, facilitating their integration into urban spaces.

Video object detection via space–time feature aggregation and result reuse

AbstractWhen detecting the objects in videos, motion always leads to object deterioration, like blurring and occlusion, as well as the strange state of the object's shape and posture. Consequently, the detection of video frames will lead to a decline in accuracy by using the image object detection model. This paper proposes an online video object detection method based on the one‐stage detector YOLOx. First, the module for space–time feature aggregation is given, which uses the space–time information of past frames to enhance the feature quality of the current frame. Then, the module for result reuse is given, which incorporates the detection results of past frames to improve the detection stability of the current frame. By these two modules, the trade‐off between accuracy and speed of video object detection could be achieved. Experimental results on the ImageNet VID show the improvement of speed and accuracy of the proposed method.

AdSegNet: a deep network to localize billboard in outdoor scenes

Over the past decade, there has been a remarkable expansion in the popularity of online videos, due to the variety of content that has become accessible on the internet. This expansion presents an opportunity for advertising and marketing agencies to take advantage of targeted advertisements. Targeted advertisements can be accomplished by replacing an existing advertisement within an image frame with a new one. There is a limited amount of research on the general task of localizing billboard or advertisement board in outdoor scenes. Therefore, in this study, we proposed a deep neural network that uses a fusion of VGG16 and SegNet architecture to accurately identify the location of an advertisement in an image frame. To evaluate the effectiveness of our proposed method, we compare our proposed method to other semantic segmentation algorithms using a publicly available dataset of outdoor scenes annotated with binary maps of billboards. Our experimental results show that the proposed method achieves 98.58% training accuracy for billboard localization, while testing results gave 96.43% testing accuracy. Additionally, the low RMSE score of our AdSegNet model suggests that it can accurately determine the four corners of the billboard. Therefore, our approach could be beneficial to advertising and marketing agencies that seek to utilize targeted advertisements

Learning with videos: Do task instructions and the availability of a pause button matter?

AbstractBackgroundWhen watching educational online videos, learners need to determine whether the videos' contents are suitable for learning. Whereas this may induce metacognitive monitoring processes, it may also distract learners from the learning materials.ObjectivesIn the current set of experiments, we investigated whether asking participants to rate the suitability of three educational videos to impart knowledge (both experiments) and enabling participants to pause the video (Experiment 2) affects learning.MethodsExperiment 1 was conducted in the laboratory with a sample of university students. Participants were randomly assigned to one of two experimental conditions (rating task vs. viewing task). Experiment 2 was conducted online. Participants were randomly assigned to one of four conditions resulting from the two factors task (rating task vs. viewing task) and pause button (available vs. not available).Results and ConclusionIn Experiment 1, we observed detrimental effects of the rating task on learning outcomes, but more accurate judgements of learning. In Experiment 2, we did not find any effects of the rating task on learning outcomes and the accuracy of the participants' judgements of learning. However, the inclusion of a pause button did result in more accurate judgements of learning. Further, exploratory analyses revealed that older participants reported higher levels of intrinsic and germane cognitive load than the younger participants. This increased effort only translated into better learning outcomes in the condition in that participants could pause the video. Thus, age is introduced as a potential boundary condition that should be investigated in instructional design research.

Online videos of robotic-assisted cholecystectomies: more harm than good?

BackgroundMany surgeons use online videos to learn. However, these videos vary in content, quality, and educational value. In the setting of recent work questioning the safety of robotic-assisted cholecystectomies, we aimed (1) to identify highly watched online videos of robotic-assisted cholecystectomies, (2) to determine whether these videos demonstrate suboptimal techniques, and (3) to compare videos based on platform.MethodsTwo authors searched YouTube and a members-only Facebook group to identify highly watched videos of robotic-assisted cholecystectomies. Three members of the Society of American Gastrointestinal and Endoscopic Surgeons Safe Cholecystectomy Task Force then reviewed videos in random order. These three members rated each video using Sanford and Strasberg’s six-point criteria for critical view of safety (CVS) scoring and the Parkland grading scale for cholecystitis. We performed regression to determine any association between Parkland grade and CVS score. We also compared scores between the YouTube and Facebook videos using a t test.ResultsWe identified 50 videos of robotic-assisted cholecystectomies, including 25 from YouTube and 25 from Facebook. Of the 50 videos, six demonstrated a top-down approach. The remaining 44 videos received a mean of 2.4 of 6 points for the CVS score (SD = 1.8). Overall, 4 of the 50 videos (8%) received a passing CVS score of 5 or 6. Videos received a mean of 2.4 of 5 points for the Parkland grade (SD = 0.9). Videos on YouTube had lower CVS scores than videos on Facebook (1.9 vs. 2.8, respectively), though this difference was not significant (p = 0.09). By regression, there was no association between Parkland grade and CVS score (p = 0.13).ConclusionPublicly available and closed-group online videos of robotic-assisted cholecystectomy demonstrated inadequate dissection and may be of limited educational value. Future work should center on introducing measures to identify and feature videos with high-quality techniques most useful to surgeons.Graphical abstract

Writing assessment literacy and its impact on the learning of writing: A netnography focusing on Duolingo English Test examinees

Language assessment literacy has emerged as an important area of research within the field of language testing and assessment, garnering increasing scholarly attention. However, the existing literature on language assessment literacy primarily focuses on teachers and administrators, while students, who sit at the heart of any assessment, are somewhat neglected. Consequently, our understanding of student language assessment literacy and its impact on learning remains limited. Moreover, previous language assessment literacy research has been predominantly situated in classroom assessment contexts, and relatively little scholarly attention has been directed to large-scale testing contexts. To address these gaps, this study investigated the role of language assessment literacy in students’ learning for the writing section of the Duolingo English Test (DET) through a netnographic approach. Twenty-three online videos posted by test takers were analyzed with reference to the existing conceptualizations to examine learners’ language assessment literacy of the DET writing section. Highlighting learners’ voices, we propose a new model relating writing assessment literacy to learning which has the potential to develop the learner-centered approach in language assessment literacy research. It elucidates the internal relationships among different dimensions of students’ language assessment literacy and their impacts on the learning of writing. We, therefore, discussed the findings of this study to argue for the importance of the transparency of assessment and the opportunities to learn provided by large-scale assessments, and to call for teachers' attention to students' language assessment literacy and understanding of the writing construct.

The Impact of Online Video and Tennis Sports App on Teaching and Learning Tennis Toward Digital Curriculum Design for Tennis Coaches

The Impact of Online Video and Tennis Sports App on Teaching and Learning Tennis Toward Digital Curriculum Design for Tennis Coaches

Understanding the phenomenological experiences of schema therapy for those with an eating disorder.

Schema therapy expands traditional cognitive-behavioral models, weakening early maladaptive schemas and schema modes while strengthening adaptive modes. This study investigated participant experiences of schema therapy for eating disorders, focusing on schema modes and the eating disorder voice, how these maintained disordered eating, and how therapy helped. Semistructured online video interviews with clients receiving schema therapy for eating disorders (N=10) were analyzed using interpretative phenomenological analysis. Four group experiential themes were developed: (1) adverse experiences, typically in childhood and adolescence, (2) interpersonal relationships, especially with primary caregivers and the benefits of a good therapeutic relationship, (3) self-awareness of schema modes and the eating disorder voice and their impact on participants' eating disorders, and (4) recovery using schema concepts, including finding one's inner child, better self-management, and ambivalence about recovering. Overall, schema therapy was perceived as beneficial, specifically regarding participants' awareness of their inner child, development of their eating disorder, and awareness of their eating disorder voice. Participants expressed a growing positive sense of agency, connecting with their inner child's needs and developing a connection to their healthy adult mode. They also felt that schema therapy had equipped them with the tools to strengthen their healthy adult mode, while simultaneously weakening their maladaptive modes.

P-068 Fertility education improves knowledge and semen quality: an open-label randomized controlled trial on 382 healthy Japanese men

Abstract Study question Does fertility education improve semen quality in healthy men? Summary answer Healthy men who received online video-based education had significantly improved fertility knowledge and semen quality. What is known already Modifiable lifestyle and environmental factors can affect semen quality, but men generally have limited knowledge about fertility and are not aware of the impact of these factors on their reproductive health. Prior research indicates that fertility education increases fertility awareness, but whether this effect extends to modifications in lifestyle and thus to semen quality remains unexplored. Study design, size, duration Participants (N = 382) were randomised into two groups. The intervention group (IG) watched a five-minute online video series about healthy lifestyles and fertility risks (e.g., sedentary time, smoking, high temperature) every four months, a total of three times. At the same time points, the control group (CG) received a general health web article. Assessments of fertility knowledge, health behaviour, and semen quality were assessed before the intervention (T1) and one year later (T2) for both groups. Participants/materials, setting, methods Participants were male employees recruited during annual health check-ups at six workplaces in Japan. Those aged 20-39 years who planned to have children in the future participated. The primary short-term outcome was semen quality, measured by sperm concentration, sperm count, sperm motility, and DNA fragmentation index (DFI). Secondary outcomes were Cardiff Fertility Knowledge Scale (CFKS) scores and health behaviours (e.g., reduced sedentary time). All analyses were conducted on an intention-to-treat basis. Main results and the role of chance Of the 382 participants, 208 (55%) completed the T2 survey: 53% (99/188) in the IG and 56% (109/193) in the CG. T1 characteristics, fertility knowledge, health behaviours, and semen quality were well balanced between groups. Generalised estimating equation models showed a significant gain in fertility knowledge from T1 to T2 in both groups: +13.2 points on CFKS (95% confidence interval [CI]: 9.7 to 16.7) in the IG and +4.7 (1.3 to 8.1) in the CG, with a significant interaction between group and time (P<0.001). Total motile sperm count showed a significant interaction between group and time (P=0.046), with a significant improvement over time in the IG (+58.1 [15.2 to 101.1] million/ejaculate) but no change in the CG (-2.6 [-43.8 to 38.6]). DFI showed a marginally significant interaction (P=0.064) and an improvement over time in the IG (-0.72 [-1.54 to 0.10]) compared with the CG (+0.35 [-0.43 to 1.13]). The other semen indicators and health behaviours showed a favourable trend in the IG, but the interactions between group and time did not reach statistical significance. Limitations, reasons for caution Difficulties in recruiting participants and high attrition led to a small sample size, which may limit the statistical power to detect a significant link between knowledge gain and improved sperm quality via altered health behaviours. Volunteer bias towards men more interested in fertility may limit the generalisability of the findings. Wider implications of the findings Low-cost short video interventions could improve semen quality at the population level. As a future direction, the preventive effects of fertility education on infertility and the causal pathway should be explored in larger studies. Trial registration number UMIN000045389

Diagnosing and managing prescription opioid use disorder in patients prescribed opioids for chronic pain in Australian general practice settings: a qualitative study using the theory of Planned Behaviour

BackgroundChronic pain is a debilitating and common health issue. General Practitioners (GPs) often prescribe opioids to treat chronic pain, despite limited evidence of benefit and increasing evidence of harms, including prescription Opioid Use Disorder (pOUD). Australian GPs are worried about the harms of long-term opioids, but few are involved in the treatment of pOUD. There is little research on GPs’ experiences diagnosing and managing pOUD in their chronic pain patients.MethodsThis qualitative research used semi-structured interviews and a case study to investigate GPs’ experiences through the lens of the Theory of Planned Behaviour (TPB). TPB describes three factors, an individual’s perceived beliefs/attitudes, perceived social norms and perceived behavioural controls. Participants were interviewed via an online video conferencing platform. Interviews were transcribed verbatim and thematically analysed.ResultsTwenty-four GPs took part. Participants were aware of the complex presentations for chronic pain patients and concerned about long-term opioid use. Their approach was holistic, but they had limited understanding of pOUD diagnosis and suggested that pOUD had only one treatment: Opioid Agonist Treatment (OAT). Participants felt uncomfortable prescribing opioids and were fearful of difficult, conflictual conversations with patients about the possibility of pOUD. This led to avoidance and negative attitudes towards diagnosing pOUD. There were few positive social norms, few colleagues diagnosed or managed pOUD. Participants reported that their colleagues only offered positive support as this would allow them to avoid managing pOUD themselves, while patients and other staff were often unsupportive. Negative behavioural controls were common with low levels of knowledge, skill, professional supports, inadequate time and remuneration described by many participants. They felt OAT was not core general practice and required specialist management. This dichotomous approach was reflected in their views that the health system only supported treatment for chronic pain or pOUD, not both conditions.ConclusionsNegative beliefs, negative social norms and negative behavioural controls decreased individual behavioural intention for this group of GPs. Diagnosing and managing pOUD in chronic pain patients prescribed opioids was perceived as difficult and unsupported. Interventions to change behaviour must address negative perceptions in order to lead to more positive intentions to engage in the management of pOUD.

Feasibility and Acceptability of Yoga for Adolescents with Juvenile Idiopathic Arthritis.

Yoga is effective for adults with arthritis but unstudied in adolescents with juvenile idiopathic arthritis (JIA). A pilot study assessed the feasibility and acceptability of an 8-week group yoga intervention for adolescents ages 14-18 with JIA. Each 75-min session included breathing techniques, relaxation, mindfulness, and modified yoga postures, using yoga props and a rope wall. An online video was available for home practice. The outcome measures administered at the baseline and at 8 weeks were physician global assessment with joint count, visual assessment with a joint damage assessment index, the Pediatric Quality of Life Arthritis Module 3.0 (Peds QL), and the visual analog scale for pain. Thirteen out of 25 participants attended ≥1 class with a mean of 5.7 ± 2.2 classes. Common reasons for non-enrollment included distance, schedule, and lack of interest. The average distance to classes was 29.0 ± 41.7 miles. There was a trend toward improvement for joint count (p = 0.07), global assessment (p = 0.10), and the Pain and Hurt domain of the Peds QL (p = 0.13), but no other outcomes approached significance. Satisfaction data from an anonymous survey (n = 8) were high in all areas. Adolescents with JIA who attended yoga reported enjoyment, pain reduction, and interest in continued practice with no adverse events. Future studies should consider stakeholder engagement to reduce barriers and larger sample sizes to test the effectiveness.

Assessment of Transoral Robotic Surgery (TORS) Content on YouTube.

Online video hosting websites such as YouTube have been increasingly used by medical institutions to spread information about new and exciting topics. However, due to the large number of videos uploaded dailyand the lack of peer review, few attempts have been made to assess the quantity and quality of information that is uploaded on YouTube.For this study, our team assessed the available content on the transoral robotic surgery (TORS) procedure. A qualitative case study model was employed. Videos related to TORS were collected using a unified search protocol. Each video was then analyzed, and metrics of the following data points were collected: views, likes, comments, upload date, length of video, author type, author, and region of origin. Each dataset was analyzed by two distinct authors, and interrater reliability was calculated. Quantitative and qualitative statistics were curated. A total of 124 videos were analyzed for this review. The breakdown of videos was as follows: 15.32% (19) in the educational for patients category, 16.94% (21) in the educational for traineescategory, 30.65% (38) in the procedural overview category, 8.87% (11) in the patient experience (PE) category, 10.48% (13) in the promotional category, 12.10% (15) in the othercategory, and 5.65% (7) in the irrelevant (IR) category. The total number of views across all videos analyzed was 2,589,561. The total number of likes was 14,827, and the total number of comments was 2,606. The average video length was 8.63 minutes. The most viewed category was the PEcategory at 1,014,738 and the most liked at 1,714. The least viewed category was IRat 21,082. The PE category had the most engagement based on combined comments and likes. The most watched video, with 774,916 views, was in the PE category under the "TORS for Thyroidectomy" search term and was titled "Thyroid Surgery (Thyroidectomy)." As the prevalence of online videos regarding medical devices, procedures, and treatments increases, patients and trainees alike will look towardresources such as YouTube to augment their understanding. Patients, providers, and medical education platforms should take heed of the promise and pitfalls of medical content on YouTube.

Comparing the educational quality of YouTube and Facebook videos on tympanostomy tubes

PurposePatients often refer to online materials when researching surgical procedures. This study compares the educational quality of online videos about tympanostomy tubes on two popular video platforms: YouTube and Facebook. This study provides clinicians with context about the content and quality of information patients may possess after watching online videos on tympanostomy tubes. Materials and methodsYouTube and Facebook were searched using key terms related to tympanostomy tubes. Videos were screened and scored in triplicate. DISCERN quality, content, production, and alternative medicine scores were assigned. Statistical analysis was conducted using GraphPad Prism. Results76 YouTube and 86 Facebook videos were analyzed. DISCERN quality scores (mean = 1.8 vs. 1.4, P < .0001), content scores (mean = 1.7 vs. 1.0, P < .0001), and production scores (mean = 4.8 vs. 4.6, P = .0327) were significantly higher on YouTube compared to Facebook. 33 % of Facebook videos referenced alternative medicine, as compared with 0 % of YouTube videos (P < .0001). Physician/hospital-generated videos had significantly higher DISCERN and content scores than parent-, product-, and chiropractor-generated videos. Views did not correlate with DISCERN or content scores. ConclusionYouTube is a better platform than Facebook for educational videos about tympanostomy tubes. YouTube videos had higher educational quality, more comprehensive content, and less alternative medicine. One third of Facebook videos advocated for alternative treatments. Importantly, videos on both platforms were of limited educational quality as demonstrated through low DISCERN reliability scores and coverage of few important content areas.

Poetry for Rights! Intergenerational Co-creation for Child Rights Scholarship

This article presents the work of a group of child rights activists including children, young people and a supporting adult, who creatively convey their thoughts and feelings about the most pressing contemporary issues in the field of children’s rights and explore implications for intergenerational co-authorship in the child rights space. The children and young people decided to use poetry as a form of communication to express themselves about the challenges and aspirations of being child rights activists in an era of polycrisis, and they then worked together to analyse the poems, identifying cross-cutting themes around mental health, navigating power relationships and demands for a more inclusive, equitable future. The text of the article contains links to online video recordings of the authors performing their poetry, inviting readers to immerse themselves in a multi-sensory experience of child-led, child rights scholarship. Accordingly, the article presents an exploration of imaginative, interactive and intergenerational scholarship on children’s rights and suggests that co-creation with children may provide a way of upholding children’s rights while making space for new epistemologies that challenge Eurocentric, adultist norms of knowledge production in the child rights space. Keywords: child rights; child participation; arts-based methods.

A typology of HIV self-testing support systems: a scoping review.

To maximise the benefits of HIV self-testing (HIVST), it is critical to support self-testers in the testing process and ensure that they access appropriate prevention and care. To summarise systems and tools supporting HIVST (hereafter, 'support systems') and categorise them for future analysis, we synthesised the global data on HIVST support systems and proposed a typology. We searched five databases for articles reporting on one or more HIVST support systems and included 314 publications from 224 studies. Across 189 studies, there were 539 reports of systems supporting HIVST use; while across 115 studies, there were 171 reports of systems supporting result interpretation. Most commonly, these were pictorial instructions, followed by in-person demonstrations and in-person assistance while self-testing or reading self-test results. Less commonly, virtual interventions were also identified, including online video conferencing and smartphone apps. Smartphone-based automated result readers have been used in the USA, China, and South Africa. Across 173 studies, there were 987 reports of systems supporting post-test linkage to care; most commonly, these were in-person referrals/counselling, written referrals, and phone helplines. In the USA, Bluetooth beacons have been trialled to monitor self-test use and facilitate follow-up. We found that, globally, HIVST support systems use a range of methods, including static media, virtual tools, and in-person engagement. In-person and printed approaches were more common than virtual tools. Other considerations, such as linguistic and cultural appropriateness, may also be important in the development of effective HIVST programs.

Rehabilitation of Executive Function in Pediatric Traumatic Brain Injury (REPeaT): Outcomes of a pilot randomized controlled trial.

To evaluate the effectiveness of Cogmed Working Memory Training (Cogmed) in improving working memory (WM) and decision making (DM) in childhood traumatic brain injury (TBI), and any associated increases in functional outcomes such as academic achievement in mathematics, behavior, social skills, and quality of life. A randomized controlled trial of the Cogmed (RM version) intervention for children with TBI. A total of 69 children post-TBI were screened for WM impairments, of which 31 eligible participants (Mage: 10.6 years; male n = 21) were recruited and randomized to either the treatment group (Cogmed, n = 16) or the active-control group (Lexia Reading Core5, n = 15). Both groups completed computerized training for 5 weeks with clinician support via an online video platform. Immediately posttraining and at 6 months follow-up, primary (WM and DM) and secondary functional outcomes were assessed. Immediately postintervention, significant improvement was found in one primary outcome (WM verbal component) for the Cogmed group, but this was not maintained at the 6 months follow-up. No immediate improvements or maintenance gains (small effect sizes) in other primary outcomes of visuospatial WM or DM were reported in the Cogmed group. No other significant group differences were detected for other functional outcomes. Despite the limited benefits observed in this small randomized controlled trial, it will be beneficial to investigate Cogmed's efficacy in a case-series methodology, to further determine its effectiveness in a pediatric TBI population. Furthermore, a cautious approach in clinical implementation of Cogmed is advised. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Surgical management of an ectopic pregnancy in the setting of an unexpected Müllerian anomaly: intraoperative and postoperative implications

ObjectiveTo describe the intraoperative and postoperative implications arising from the unexpected diagnosis of a Müllerian anomaly during the surgical management of an ectopic pregnancy. DesignVideo article. SettingAcademic Center. Subject(s)A 39-year-old nulligravid woman with anovulation and irregular menstrual cycles presented to the office. Her urine pregnancy test was incidentally positive; serum β-human chorionic gonadotropin (β-hCG) level was 5,644 mIU/mL. Outpatient transvaginal ultrasonography (TVUS) demonstrated a 2.1 x 1.7 x 2.2-cm thick-walled structure in the left adnexa without an intrauterine pregnancy. These findings were highly suspicious for a left tubal ectopic pregnancy. The patient was consented for laparoscopy with planned left salpingectomy. The patient included in this video gave consent for publication of the video and posting of the video online including social media, the journal website, scientific literature websites (such as PubMed, ScienceDirect, Scopus, etc.) and other applicable sites. InterventionDiagnostic laparoscopy did not show an obvious left tubal ectopic pregnancy. Instead, a right unicornuate uterus with a dilated rudimentary left uterine horn was seen. Both fallopian tubes and ovaries appeared normal. These laparoscopic findings were consistent with an ectopic pregnancy in the rudimentary horn. However, in the absence of informed consent for a hemi-hysterectomy and no evidence of ectopic rupture or bleeding within the pelvis, we decided to proceed with excision of the ectopic pregnancy from the uterine horn. An incision was made over the anterior surface of the uterine horn, and the pregnancy sac was dissected from the underlying myometrium and excised in its entirety. Left salpingectomy was also performed. The patient was discharged home the same day, and her β-hCG levels decreased to <5 mIU/mL within 28 days of surgery. Main Outcome MeasuresComplete resolution of a left rudimentary uterine horn ectopic pregnancy through surgical excision of the pregnancy sac without hemi-hysterectomy. ResultsPostoperative hysterosalpingography (HSG) demonstrated a right unicornuate uterus with normal fill and spill of the right fallopian tube. Magnetic resonance imaging (MRI) of the pelvis confirmed the findings of a right unicornuate uterus with a non-communicating left rudimentary uterine horn that did not contain any endometrial tissue. Thus, the patient did not require an interval hemihysterectomy. She underwent letrozole and intrauterine insemination treatment 5 months after the initial surgery, which resulted in a clinical intrauterine pregnancy. However, this pregnancy was terminated in the early second trimester due to findings of trisomy 18. She conceived naturally one year later, and this pregnancy resulted in a full-term vaginal birth at 39 weeks gestation. ConclusionUndiagnosed or unexpected Müllerian anomalies can impact the standard intraoperative and postoperative management of ectopic pregnancies.