A Case Report On Ruptured Rudimentry Horn Pregnancy At 16 Weeks Without The Past 2 Normal Vaginal Deliveries

• CASE REPORT | ISSUE DETAILS: VOL NO.2 | ISSUE NO. 1

Abstract

A unicoronal uterus with a primitive horn, it means that the contralateral side did not fuse properly with the other side, and one of the Mullerian ducts did not fully develop. It is quite uncommon to get pregnant with a noncommunicating rudimentary horn, and most pregnancies end in rupture in the first or second trimester. It might be challenging to diagnose primitive horn pregnancy and its rupture in a woman who has had a vaginal birth in the past. Regular ultrasound scans may miss it; in most cases, the rupture leads to its discovery. A strong index of suspicion is necessary. We reported a case of G3P2 with a ruptured rudimentary horn pregnancy at 16 weeks of gestation. The ultrasound incorrectly identified the pregnancy as an intrauterine one with fetal demise, and an attempt at termination was made. The patient was subsequently referred to our hospital when hemoperitoneum and shock were observed, along with a diagnosis of a ruptured uterus. Upon laparotomy, a rupture of the right rudimentary horn and significant hemoperitoneum were discovered. An early laparotomy, horn removal, and blood transfusion saved the patient.

Study design: A CASE REPORT