Laparoscopic Management of Rudimentary Horn Pregnancy: A Case Report and Review of the Literature

Abstract

Abstract Background: Rudimentary horn pregnancy is a rare but important cause of gynecologic morbidity and mortality. As the available literature is limited, the optimal surgical approach and techniques have not been defined clearly. Case: This report describes a case of a multiparous woman who presented with painless vaginal spotting. Her history included a previous preterm vaginal birth at 35 weeks' gestation and a subsequent cesarean section for breech presentation. At the current presentation, she was otherwise asymptomatic and had no abnormal examination findings. A transvaginal ultrasound revealed a 3-cm cystic structure in the right adnexa with a thick echogenic wall containing a yolk sac, and a left unicornuate uterus. Diagnostic laparoscopy revealed a unicornuate uterus with a bulging noncommunicating right rudimentary horn measuring 4 cm. Excision of the rudimentary horn and an ipsilateral salpingectomy were performed. Upon excision, it was confirmed that there was no communication between the r...