Fallbericht Gynäkologie und Geburtshilfe Offener Zugang

Abstrakt

Rudimentary Horn Pregnancy- A Diagnostic Dilemma

Deeba Khanam*, Seema Hakim and Shweta Mhatre

p>Pregnancy implanted in the rudimentary horn of unicornuate uterus is very rare with an incidence of 1 in 75,000 to 1 in 150,000 pregnancies and 50% of them rupture, while 80% of rupture occurs in first and second trimesters, where atrocious outcomes are reported. Horn pregnancy rarely reaches third trimester and when it does the diagnosis becomes more challenging. Ectopic in unicornuate rudimentary horn of uterus is difficult to diagnose even with best facilities available. Consequences are grave with slightest error of radiological and clinical judgment.

Here we report a case of a 20-year-primigravida with 34 weeks, IUD baby who reported to labor ward with pain lower abdomen. She was induced and in the process she went in to shock following which laparotomy was performed and per operatively we found ruptured rudimentary horn, and unilateral horn resection with salpingectomy was performed. The purpose is to spread awareness of all such rare cases where maternal and fetal well is jeopardized, and accentuates the significance of high index of suspicion in all such cases.