Rupture of Non-communicating Rudimentary Horn at 28 Weeks of Pregnancy in Previously Scarred Uterus: A Diagnosis in Disguise
نویسندگان
چکیده
Pregnancy in non-communicating rudimentary horn of unicornuate uterus is an uncommon form of ectopic pregnancy usually resulting in rupture during second trimester with grave consequences for the mother and fetus. We report a case of ruptured non-communicating rudimentary horn at 28 weeks of gestation in woman with previous Caesarean section in unicornuate uterus. She presented to emergency with pain abdomen since four days. Laparotomy was done and the rudimentary horn excised. Post-operative recovery was uneventful. High index of suspicion of uterine anomaly and its early diagnosis in cases of second trimester rupture is required to save this catastrophic event.
منابع مشابه
Pregnancy in Non-Communicating Rudimentary Horn of A Unicornuate Uterus
Background: Diagnosis and management of pre-rupture stage of the pregnant horn are difficult and usually missed on a routine ultrasound scan. Furthermore, most cases are detected after rupture of pregnant horn. Case: We presented a 28-year-oldG2 L1 woman with diagnosis of RHP at 14 weeks of gestation. She was initially diagnosed with a normal intrauterine pregnancy, whereas a pregnancy in a rig...
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Pregnancy in the rudimentary horn is rare and represents a form of ectopic gestation. Despite advances in ultrasound, prenatal diagnosis remains elusive, with confirmatory diagnosis being made at laparotomy. Because of variable muscular constitution of the wall of the rudimentary horn, pregnancy can be accommodated until late in pregnancy, when rupture occurs manifesting commonly as acute abdom...
متن کاملRupture of non-communicating rudimentary pregnant uterine horn in a pseudo-unicornuate uterus with placenta increta at 27 weeks of amenorrhea
Pregnancy in a non-communicating rudimentary horn is an extremely rare usually resulting in rupture during second trimester of pregnancy. The standard treatment is excision of the pregnancy and rudimentary horn. We report a case of ruptured non-communicating rudimentary horn at 27 weeks in a woman with previous vaginal delivery. She presented to emergency with acute abdominal pain and massive h...
متن کاملPregnancy in Non-Communicating Rudimentary Horn of A Unicornuate Uterus
Diagnosis and management of pre-rupture stage of the pregnant horn are difficult and usually missed on a routine ultrasound scan. Also most cases are detected after rupture of pregnant horn. We presented a 28-year-oldG2 L1 woman with diagnosis of rudimentary horn pregnancy (RHP) at 14 weeks of gestation. We diagnosed her with a normal intrauterine pregnancy, whereas a pregnancy in a right-sided...
متن کاملShamim and Shabana Two Near Miss Cases of Hemoperitoneum Due to Ruptured Noncommunicating Horn of Unicornuate Uterus in Primigravida
Pregnancy in non-communicating rudimentary horn is rare. It occurs following transperitoneal migration of sperms or zygote. Uterine rupture usually occurs in 70-90% cases in the second trimester by 20 weeks. Diagnosis of rudimentary horn pregnancy and its rupture in a woman is difficult. It can be missed in routine ultrasound scan and in majority of cases it is detected after rupture. It requir...
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