RUPTURED ECTOPIC PREGNANCY IN THE RUDIMENTARY HORN OF UTERUS BICORNIS UNICOLLIS- A CASE REPORT

Pregnancy in the non communicating rudimentary horn of bicornuate uterus is extremely rare and terminates by rupture in the end of first trimester or second trimester of the pregnancy. Thus excision of rudimentary horn is recommended whenever diagnosed. Here is a case of ruptured ectopic in rudimentary horn of bicornuate uterus in a 23 year old women who presented to us in a state of shock with history of 3 months amenorrhea and abdominal pain for 3 hours. She had delivered a full term male baby one year back, by normal vaginal delivery and her uterine abnormality was not previously diagnosed. Since she presented with shock she was immediately taken up for surgery after confirming ruptured ectopic by culdocentesis and bedside ultrasonogram. Peroperatively she was diagnosed as a case of bicornuate uterus with ruptured ectopic pregnancy in the non-communicating rudimentary horn on the right side. She underwent excision of the rudimentary horn and right salpingectomy which was done to prevent further ectopic by the mechanism of transperitoneal migration. She was discharged after 10 days with advice for contraception with hormonal or barrier methods for one year.