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VOLUME 2 , ISSUE 1 ( January-June, 2018 ) > List of Articles

CASE REPORT

Non-communicating Rudimentary Horn Pregnancy—A Rare Clinical Scenario

Bansal Darpan, Surat Kaur

Keywords : Ectopic pregnancy, Laparotomy, Rudimentary horn, Suspicion index, Unicornuate uterus

Citation Information : Darpan B, Kaur S. Non-communicating Rudimentary Horn Pregnancy—A Rare Clinical Scenario. Curr Trends Diagn Treat 2018; 2 (1):41-43.

DOI: 10.5005/jp-journals-10055-0035

License: CC BY-NC 4.0

Published Online: 00-06-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Unicornuate uterus with pregnancy in a rudimentary horn is a rare clinical entity with an incidence of 1 in 76000. Its diagnosis requires a high index of suspicion as it can be very easily missed during a routine ultrasound scan. Management involves laparoscopically or open resection of the rudimentary horn and ipsilateral fallopian tube. Case report: We present a case of a 28-year old female with pain abdomen and history of intake of abortion pills twice and previous history of normal vaginal delivery. Initial ultrasound scans from remote centers were normal. After a thorough clinical examination, patient was again subjected to a final scan which revealed ectopic pregnancy. A definitive diagnosis of leftrudimentary horn pregnancy was made during laparotomy and resection of a rudimentary horn with ipsilateral salpingooopherectomy was done. Conclusion: Diagnosis of the rudimentary horn is a challenge. Early diagnosis is necessary to decrease maternal morbidity and mortality.


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