RUPTURED ECTOPIC PREGNANCY IN THE RUDIMENTARY HORN OF UTERUS BICORNIS UNICOLLIS- A CASE REPORT

Abstract

Pregnancy in the non communicating rudimentary
horn of bicornuate uterus is
extremely rare and terminates by rupture
in the end of first trimester or second trimester
of the pregnancy. Thus excision
of rudimentary horn is recommended
whenever diagnosed. Here is a case of
ruptured ectopic in rudimentary horn of
bicornuate uterus in a 23 year old
women who presented to us in a state of
shock with history of 3 months amenorrhea
and abdominal pain for 3 hours.
She had delivered a full term male baby
one year back, by normal vaginal delivery
and her uterine abnormality was not
previously diagnosed. Since she presented
with shock she was immediately
taken up for surgery after confirming ruptured
ectopic by culdocentesis and bedside
ultrasonogram. Peroperatively she
was diagnosed as a case of bicornuate
uterus with ruptured ectopic pregnancy in
the non-communicating rudimentary horn
on the right side.
She underwent excision of the rudimentary
horn and right salpingectomy which was
done to prevent further ectopic by the
mechanism of transperitoneal migration.
She was discharged after 10 days with advice
for contraception with hormonal or barrier
methods for one year.