Rupture of non-communicating rudimentary uterine horn at 16 weeks of gestation

Renu Gupta, Neena Gupta, Seema Dwivedi, Pavika Lal, Monica Chauhan

Abstract


Pregnancy in non-communicating rudimentary horn is extremely rare and the usual presentation is rupture of rudimentary horn in second trimester of pregnancy resulting in severe haemoperitoneum which can be life threatening. We report a case of ruptured rudimentary horn pregnancy in 23 years old G2P0A1Lo whose diagnosis was initially missed by ultrasonography and presented to us in hemorrhagic shock. Exploratory laparotomy revealed ruptured rudimentary horn pregnancy at 16 weeks with haemoperitoneum and excision of ruptured left rudimentary horn with ipsilateral salpingectomy was done.


Keywords


Non communicating rudimentary horn, Life threatening hemorrhagic shock

Full Text:

PDF

References


Nahum GG. Rudimentary uterine horn pregnancy: a case report on surviving twins delivered eight days apart. Repord Med. 1997;42:525-32.

Jaya Singhe Y, Rane A, Stalewski H, Gravier S. The presentation and early diagnosis of Rudimentary uterine horn. Obstet Gynaecol. 2005;105:1456-67.

Goel P, Aggarwal A, Devi K, Takkar N, Saha PK, Huria A. Unicornuate uterus with noncommunicating rudimentary horn- different clinical presentations, J Obstet Gynaecol. 2005;55:155-8.

Fedelle L, Docta M, Verrellini P, et al. Ultrasound in the diagnosis of sub classes of unicornuate uterus. Obstet Gynaecol. 1988;71(2):274.