Laparoscopic Management of an Advanced Nonruptured Ectopic Pregnancy in a Rudimentary Uterine Horn

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A 30-year-old gravida 5 para 1 with a known unicornuate uterus and rudimentary horn diagnosed at her previous cesarean section (Fig. 1) and 3 previous missed abortions presented to a routine prenatal visit with an ectopic pregnancy. Patient denied abdominal pain or vaginal bleeding. Her β human chorionic gonadotropin was 22 504 mIU/mL and ultrasound revealed a 7-week gestation with cardiac activity in the rudimentary horn (Fig. 2), confirmed by 3D ultrasound. The decision was made for surgical management.