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Ruptured ectopic pregnancy in the rudimentary horn of bicornuate uterus: a case report

Journal: International Journal of Reproduction, Contraception, Obstetrics and Gynecology (Vol.3, No. 1)

Publication Date:

Authors : ; ;

Page : 248-250

Keywords : Bicornuate uterus; Rudimentary horn; Ruptured ectopic;

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Abstract

Rupture uterus in first and second trimester in a non-scarred uterus is generally seen with associated mullerian anomalies. A 22 year old primigravida with 16 weeks gestational age presented with pain in abdomen since 6 hours prior to admission and hypovolemic shock. Though she had taken regular antenatal visits and a transabdominal scan at 14-16wks with the report opining a normal study, the diagnosis of the fetus in the rudimentary horn was missed. A provisional diagnosis of rupture of right rudimentary horn of a bicornuate uterus was made afet clinical examination and the TVS showing the cervix continuing into a normal uterus with no fetus within it and a vague right adnexal mass. Transabdominal scan also showed vague hypoechoic mass in the right adnexa with a fetus of 16-17 weeks above the mass with absent cardiac activity. Emergency laparotomy with resuscitation and excision of the ruptured horn and blood transfusion saved the life of the patient. [Int J Reprod Contracept Obstet Gynecol 2014; 3(1.000): 248-250]

Last modified: 2014-03-31 22:14:55