Ruptured ectopic pregnancy in rudimentary horn

Goverdhan, Nivedita; Patankar, Alka

doi:10.18203/2320-1770.ijrcog20160896

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2020

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“…5 The first case of uterine rupture associated with rudimentary horn was reported in 1669 by Mauriceau. 7 The key for diagnosis prior to the rupture is a high index of clinical suspicion. 8 For diagnosing the rudimentary horn pregnancy a set of criteria was created, which are as follows.…”

Section: Discussionmentioning

confidence: 99%

Ruptured rudimentary horn pregnancy: a case report

Venugopal

Patil

Manoli

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Uterine anomalies are congenital malformations arising due to embryological mal-development of mullerian ducts. The European society of Human Reproduction and Embryology (ESHRE) classifies these anomalies into 6 classes. Hemi-uterus is one such class of formation defect of mullerian duct with unilateral uterine development; the contralateral part could be either incompletely formed or absent. In a rare form of ectopic pregnancy, implantation can occur in the cavity of a rudimentary horn of the hemi-uterus. Authors report a case of 22-year G2P1L1 with 12 weeks gestation who presented with acute abdomen. Ultrasound showed hemoperitoneum with suspicion of ectopic pregnancy. Laparotomy confirmed the diagnosis of ruptured right rudimentary horn with fetus and placenta in the peritoneal cavity. Immediate laparotomy and excision of the horn with transfusion of blood and blood products saved the patient in the nick of time.

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Section: Discussionmentioning

confidence: 99%