The Importance of Initial Evaluation by Trans Vaginal Sonography in Rudimentary Horn Pregnancy: A Case Report and Literature Review

Rudimentary horn pregnancy (RHP) as a rare incidence has been estimated at 1:76,000- 1:150,000 pregnancies. It has been also reported that 80-90% of RHP lead to uterine rupture in second trimester. Early diagnosis with the use of 3-dimentional ultrasonography (3-DUS) that is followed by laparoscopic resection of RH and ipsilateral fallopian tube is likely to be considered as the best management strategy that prevents maternal morbidity and mortality. We present a case of 9-week pregnancy in a non-communicating rudimentary horn with positive fetal heart rate (FHR) that was diagnosed by 3-DUS and successfully treated with laparoscopic resection.