Abstract
Pregnancy in a rudimentary uterine horn is associated with a high risk of acute uterine rupture and hence increased maternal morbidity. Early diagnosis is essential for successful management but remains a clinical challenge. If a rudimentary uterine horn is detected before pregnancy, surgical removal should be performed by laparoscopy. We present a case of a second trimester pregnancy in a rudimentary uterine horn in a 34-year-old woman with a previous cesarian section and two previous term deliveries. The woman presented with acute abdomen and hemorrhagic shock. An emergency laparotomy was performed revealing a ruptured rudimentary uterine horn and a fetus estimated to be 16 weeks of gestation. A resection of the rudimentary uterine horn along with the placenta and a left salpingectomy were performed. The woman recovered without complications.
This case report was previously published in Acta Obstet Gynecol Scand. 2010; 89:1111–1112 by Mette Petri Lauritsen, Elisabeth Clare Larsen and Marianne Johansen. Reprinted with permission.
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Lauritsen, M., Johansen, M. (2015). Rudimentary Uterine Horn Pregnancy. In: Tulandi, T. (eds) Ectopic Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-11140-7_20
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DOI: https://doi.org/10.1007/978-3-319-11140-7_20
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