Rupture of pregnancy in the communicating rudimentary uterine horn at 34 weeks |
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Authors: | Elsayegh A; Nwosu EC |
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Institution: | Obstetrics & Gynaecology, Whiston Hospital, St Helens, UK. |
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Abstract: | 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 abdomen with high risk of maternal mortality.
The rudimentary horn may or may not communicate with the uterine cavity
with majority of cases being non-communicating. We present a case of
pregnancy in the communicating horn that was difficult to diagnose which
ruptured at 34 weeks and a review of literature.
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