Ruptured ectopic pregnancy in the rudimentary horn of a Unicornuate uterus. A case report.

Abstract

Ectopic pregnancy in rudimentary horn of a Unicornuate uterus is a very rare phenomenon, and usually presents in second trimester with rupture and hemoperitoneum. Diagnosis before its rupture is very challenging.
 We are presenting a case report of ruptured ectopic pregnancy in rudimentary horn of a Unicornuate uterus. A 26 years old gravida 4 para 2 with one early miscarriage, having first vaginal delivery and second delivery by Caesarean section due to fetal distress, presented in emergency with 4 months amenorrhea, severe lower abdominal pain for 2 days and signs and symptoms of shock. There was severe anemia and abdominal tenderness. Ultrasound showed, left ruptured ectopic pregnancy with 16 weeks size dead fetus present in the pelvic cavity and massive hemoperitoneum. After resuscitation laparotomy was performed. There was ruptured left rudimentary horn pregnancy. The horn was reserved and uterus was repaired. Multiple blood transfusions were done. Post-operative period remained uneventful.