Original Research Paper

A CASE REPORT ON RUPTURED RUDIMENTARY HORN ECTOPIC PREGNANCY

  Abstract :

Unicornuate uterus with rudimentary horn is a type of Mullerian duct malformation and its incidence has been reported as 1 in 1000.1 This malformation results from the defective fusion of the duct with the contra-lateral side. This rudimentary horn may or may not have functional cavity. This cavity is usually found to be non communicating with main cavity of unicornuate uterus.Collection of menstrual blood in the rudimentary horn will result in hematometra and can cause chronic pelvic pain and subsequent endometriosis.PREGNANCY IN A RUDIMENTARY UTERINE HORN is a rare condition that can lead to a catastrophic outcome when it rupture during second trimester of pregnancy. Pre rupture diagnosis of pregnancy in rudimentary horn with ultra sonography is technically difficult, with sensitivity of 30% which can then be confirmed by a magnetic resonance image (MRI) or a laparoscopy.. We report a case of ruptured non-communicating rudimentary horn at 19 weeks in pregnant lady. In our opinion, routine excision of rudimentary horn should be undertaken during non pregnant state laparoscopically. However, those women who refuse should be adequately counseled regarding potential complications and if pregnancy occurs in rudimentary horn, first trimester laparoscopic excision should be done.

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