Publication: Rupture of Non-communicating Rudimentary Horn Pregnancy at 15 Weeks with Previous Normal Pregnancies: A Case Report
Date
2020
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 614 - 617
Publisher
Nepal Medical Association
Abstract
Abstract
Rudimentary horn is a mullerian anomaly that is a variant of unicornuate uterus. Rudimentary horn pregnancies are rare and associated with increased maternal morbidity and mortality. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with previous vaginal delivery is challenging. Although ultrasonography is an important diagnostic tool, it has low sensitivity in making diagnosis of ruptured rudimentary horn pregnancy. Therefore, clinicians should have high index of suspicion in such cases. We report a case of G3P2L2 at 15 weeks period of gestation referred to our centre as a case of intrauterine pregnancy with acute abdomen. She underwent emergency laparotomy and was found to have ruptured rudimentary horn intraoperatively. Excision of the ruptured rudimentary horn and ipsilateral salpingectomy was done and the patient had an uneventful postoperative recovery.
Keywords: acute abdomen; case report; hemoperitoneum; mullerian anomalies, rudimentary horn.
Description
Sanyukta Rajbhandary
Department of Obstetrics and Gynecology, B.P Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal
Anamika Das
Department of Obstetrics and Gynecology, B.P Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal
Mausam Rai
Department of Obstetrics and Gynecology, B.P Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal
Archana Kumari Sah
Department of Obstetrics and Gynecology, B.P Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal
Keywords
acute abdomen, case report, hemoperitoneum, mullerian anomalies, rudimentary horn
Identifier
https://doi.org/10.31729/jnma.5104