Pregnancy in the Rudimentary Uterine Horn Case report of an unusual presentation
Journal Title: Sultan Qaboos University Medical Journal - Year 2014, Vol 14, Issue 1
Abstract
A unicornuate uterus with a rudimentary horn is a uterine anomaly resulting from the incomplete development of one of the Müllerian ducts and an incomplete fusion with the contralateral side. Pregnancy in a rudimentary horn of the uterus is a rare clinical condition with a reported incidence of 1 in 100,000 to 140,000 pregnancies. Usually the diagnosis is missed and may present as an emergency with haemoperitoneum. Te standard treatment is the surgical excision of the horn. A gravida 2, para 1 patient presented at 23 weeks’ gestation with fetal demise. Repeated failed attempts at induction of labour raised the suspicion of an abnormally located pregnancy which was confrmed by magnetic resonance imaging. She underwent a laparotomy with right rudimentary horn excision. Te fnal diagnosis of a non-communicating rudimentary horn pregnancy was made intraoperatively and was confrmed by histopathology. Tis case highlights the importance of an early ultrasound in detecting uterine anomalies and the need for high clinical suspicion.
Authors and Affiliations
Qamariya Ambusaidi| Department of Obstetrics & Gynecology, Royal Hospital, Muscat, Oman, Chitra Jha| Department of Obstetrics & Gynecology, Royal Hospital, Muscat, Oman
Keywords
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