A Study of Pregnancy in a Non-Communicating Rudimentary Horn of the Uterus

Abstract

BACKGROUND
 Pregnancy in a non-communicating horn of the uterus is a very rare entity. Incidentally, we had 11 cases in the last 6 years presenting in various ways. In literature, cases presented on pregnancy in a non-communicating horn are not many. Hence we are analysing our cases. The objectives of our study were to diagnose and manage such cases at the earliest and sharing our experience to help for its early diagnosis and further management.
 METHODS
 Records of women diagnosed with ectopic pregnancy in the rudimentary horn, during the last 6 years, were reviewed for their diagnostic difficulties and the associated morbidity.
 RESULTS
 Cases diagnosed before laparotomy were 3, and cases diagnosed after laparotomy were 8. Amongst 8 cases, 2 were intact and the other 6 had already ruptured. Laparotomy with excision of rudimentary horn and salpingectomy was done in all cases.
 CONCLUSIONS
 Suspicion is the main tool for diagnosis. Its suspicion and clinical finding along with imaging technology are very important for its early diagnosis and management.