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Case Studies | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023

A Case of Mid Trimester Pre - Rupture Non - Communicating Rudimentary Horn Pregnancy: Clinical Presentation and Management

Shivika Mittal ^[5] | Prashant Dhatwalia ^[3] | Rita Mittal ^[7]

Abstract: Introduction: Pregnancy in rudimentary horn of the uterus is a type of ectopic pregnancy diagnosed most often at the rupture of the rudimentary horn, which is the most dreaded and life - threatening complication. Here we present a rare case of pre - rupture diagnosis and management of rudimentary horn pregnancy. Case presentation: We present a case of a 26y PGR at 24weeks gestational age with rudimentary horn pregnancy with dull abdominal pain prior to rupture of rudimentary horn. Surgical management was done and rudimentary horn with ipsilateral tube was removed. The patient was stable post - op and discharged of day - 7 Discussion: Rudimentary horn pregnancy is a rare ectopic pregnancy. Diagnosis is difficult clinically, even with diagnostic imaging modalities. Identifying both cornuas systematically in all patients increases the detection rate. The absence of continuity between the gestational sac's lumen and the cervical canal on imaging is an important finding. Conclusion: High suspicion can aid in timely diagnosis and management at an early gestation and can prevent serious morbidities and mortality.

Keywords: Rudimentary horn, rupture, ectopic, unicornuate

Edition: Volume 12 Issue 3, March 2023,

Pages: 1041 - 1043