Acute maternal collapse in pregnancy with ruptured rudimentary horn of unicornuate uterus: A case report

Unicornuate uterus with rudimentary horn occurs due to failure of complete development one the Mullerian ducts and incomplete fusion contralateral side. It is associated numerous obstetrics gynecological problems such as Infertility, Endometriosis, Miscarriages, Malpresentations & Intrauterine growth restriction. Pregnancy in non-communicating extremely rare usually terminates rupture during first or second trimester pregnancy. via transperitoneal migration sperm zygote. Variable thickness musculature, poor distensibility myometrium lead rupture. This complication seen 2nd resulting shock haemoperitoneum. Diagnosis pregnancy difficult can be missed ultrasound. requires a high risk suspicion. Materials Methods: We report case 24yr primi gravida 26 weeks gestation presented pain abdomen sudden maternal collapse on arrival, suspected intra-abdominal ultrasound laparotomy found ruptured unicornuate fetus intra-abdominally massive hemoperitoneum. Conclusion: Pregnancies are prone intra uterine restriction so index suspicion required save this catastrophic event morbidity mortality. In our opinion, routine excision should undertaken non-pregnant state laparoscopically. However, those women who refuse adequately counseled regarding potential complications if horn, laparoscopic done.