Abstract
Pregnancy in a non-communicating rudimentary horn is an extremely rare form of ectopic gestation. The rudimentary horn may or may not communicate with the uterine cavity with the majority of cases being non-communicating. The patient exhibits features of acute abdomen and carries a high risk of maternal death. Even modern scans remain elusive whereas laparatomy remains the confirmatory procedure for the diagnosis. Because of the varied muscular constitution in the thickness and distensibility of the wall of the rudimentary horn, pregnancy is accommodated for a variable period of gestation. Here, we report three cases of pregnancy in a non-communicating rudimentary horn of the uterus in different periods of gestation, their outcome and a review of the available literature.
Highlights
A non-communicating rudimentary horn is a rare type of Mullerian duct malformation
Pregnancy in a non-communicating rudimentary horn represents a form of ectopic gestation
The majority of rudimentary horns are non-communicating to the main uterine cavity as reported in these three cases
Summary
A non-communicating rudimentary horn is a rare type of Mullerian duct malformation. This results from defective fusion or defective absorption during embryonic life. These non-communicating rudimentary horns are without endometrial cavity (45 %) and do not have a cervix or a vaginal outlet in some cases.[2,5] Pregnancy is accommodated for a variable period of gestation because of the varied muscular constitution We here present three cases of non-communicating rudimentary horn with viable outcomes.
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