Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: a case report (original) (raw)

Abstract

Pregnancy in the rudimentary horn is rare and carries grave consequences for the mother and fetus. A case report is presented of a 26 year old single gravida 3 para 0 +2 lady with rupture of a rudimentary horn pregnancy at a gestational age of 20 weeks. Laparotomy was done and the rudimentary horn excised. Post-operative recovery was uneventful. The need for a high index of suspicion and the role of ultrasonography in the accurate diagnosis is highlighted.

Figures (1)

Figure I. Intra-operative photograph showing the anterior view of the uterus with the rudimentary horn attached to its left superior border. The rudimentary horn has a 5 cm rupture with the placenta partially protruding through it. The fetus is already extruded from the horn with the umbilical cord still attached to it on one end and the placenta in the horn.

Figure I. Intra-operative photograph showing the anterior view of the uterus with the rudimentary horn attached to its left superior border. The rudimentary horn has a 5 cm rupture with the placenta partially protruding through it. The fetus is already extruded from the horn with the umbilical cord still attached to it on one end and the placenta in the horn.

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