Abstract
Pregnancy in a rudimentary horn is a very rare condition. It is responsible for severe complications and also a life threatening condition as it mostly terminates by rupture of pregnancy. This was a case of non communicating unruptered pregnancy which was misdiagnosed on 1st and 2nd transabdominal ultrasonography, progressing to 22weeks gestation and ends in a missed abortion. A transvaginal ultrasonography revealed it as an abdominal pregnancy and on laparotomy confirmed diagnosis was non communicating rudimentary horn pregnancy. Pregnancy sac with foetus was removed intact and patient. recovered without any complications. Gravid rudimentary horn may be misdiagnosed as abdominal pregnancy and are of interest in management.DOI: http://dx.doi.org/10.3329/jom.v15i1.19879 J Medicine 2014; 15: 74-76
Highlights
Pregnancy occurring in a malformed uterus is relatively rare.[1]
It is estimated that 600 to 700 rudimentary horn pregnancies have been reported in the world wide up to now.[3]
In 70% of the pregnancies in a rudimentary horn, uterine ruptured occurs before 20 weeks of gestation and in a further 20% of the cases, it ruptures by the end of the second trimester[5] and hardly 10% of the cases goes to term.[6]
Summary
Introduction: Pregnancy occurring in a malformed uterus is relatively rare.[1] Even more rare are those occurring in a rudimentary uterine horn. Case Report: A 20 years old lady, gravida-1 unbooked was presented in emergency department of Khulna Medical College Hospital with history of amenorrhea of 22 weeks with slight pervaginal bleeding for one month and history of dilatation, evacuation & curettage 7 days back at Upazila Health Complex. At her 15 weeks of gestation, a transvaginal ultra sonogram revealed a single viable intrauterine pregnancy.
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