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Ruptured Rudimentary Horn Pregnancy at 13 Weeks with Previous Caesarian Delivery.

SUNITA BATTU

Abstract


Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the Mullerian ducts and incomplete fusion with the contralateral side.  Pregnancy in a noncommunicating rudimentary horn is  extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis of rudimentary horn pregnancy and its rupture is difficult. It can be missed in  routine ultrasound scan and in majority of cases it is detected after rupture. It requires a high index of suspicion. We report a case of G2PlL1Previous LSCS with rupture rudimentary horn pregnancy at 13 weeks of gestation which was misdiagnosed as intrauterine pregnancy with rupture uterus was later  referred to our hospital after the patient developed hemoperitoneum and shock with a diagnosis of rupture uterus. Laparotomy revealed rupture of left rudimentary horn pregnancy with massive hemoperitoneum. Timely laparotomy, excision of the horn, and blood transfusion saved the patient.

 


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