Zeynep Kamil Med J. 2014; 45(4): 171-174

Laparoscopic Excision of Ruptured Non-Communicating Rudimentary Horn Pregnancy

Hasan Onur Topçu, Ümit Taþdemir, Ali Irfan Güzel, Mahmut Kuntay Kokanalý, Özlem Evliyaoðlu, Melike Doðanay
Zekai Tahir Burak Women’s Health Care Education and Research Hospital, Ankara, Turkey

Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in a non-communicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with prior vaginal delivery is difficult. It can be undiagnosed in routine ultrasound scan and in majority of cases it is detected after rupture.We report a case of G2P1 with ruptured rudimentary horn pregnancy at 9 weeks of gestation which was misdiagnosed as tubal ectopic pregnancy.

Keywords: non-communicating rudimentary horn pregnancy, laparoscopy, unicornuate uterus.

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