Unruptured pregnancy in non-communicating rudimentary horn of a unicornuate uterus- A rare case

Unruptured pregnancy

Abstract

Pregnancy in non-communicating rudimentary horn of unicornuate uterus is very rare type of ectopic pregnancy. Only few of such cases rupture in first trimester, but eventually ninety percent of such cases rupture in second trimester. A high index of suspicion and careful ultrasound examination can detect the condition earlier before rupture.
Here we report a case of 32years old G3P2L2, presented with 7weeks of gestation with acute abdomen. On ultrasonography, unruptured cornual ectopic pregnancy was suspected. Emergency exploratory laparotomy was done. Intra-operatively there was unruptured ectopic pregnancy in non-communicating horn of a unicornuate uterus. The rudimentary horn with unruptured pregnancy was excised and bilateral tubectomy was done. This case is reported because of its rarity as well as to stress the need for high index of suspicion and role of ultrasonography in the diagnosis this rare and dreadful entity.