RUPTURED ECTOPIC PREGNANCY IN RUDIMENTARY HORN OF THE UTERUSAT 15 WEEKS

S. Ahmed, Hazim; N. Nasir, Fakhraddin; K. Ghalib, Ayla

	RUPTURED ECTOPIC PREGNANCY IN RUDIMENTARY HORN OF THE UTERUSAT 15 WEEKS
Medical Journal of Tikrit
Article 1, Volume 1, Issue 161, 2012, Pages 11-14
Authors
Hazim S. Ahmed; Fakhraddin N. Nasir; Ayla K. Ghalib
Abstract
An ectopic pregnancy is a gestation that implants outside of the endometrial cavity (fallopian tubes, ovaries and abdominal cavity) or abnormal position within the uterus (cornua, cervix, rudimentary horn), it represents a serious hazard to woman s health and her reproductive potential, it occurs in 1 of every 80 spontaneously conceived pregnancy. Rudimentary horn is one of the rarest congenital uterine anomalies and consists of a relatively normal appearing uterus on one side with a rudimentary horn on the other side with majority of cases being non communicating. Pregnancy in rudimentary horn is rare and represents a form of ectopic gestation, despite recent advances in ultrasound, the diagnosis remains elusive with confirmatory diagnosis being made at laparatomy, when rupture occurs, manifesting commonly as acute abdominal pain with high risk of maternal mortality. A 27 years old gravida 2 para 1 by normal vaginal delivery, presented at 15 weeks of gestation with severe abdominal pain for the last 6 hours, by examination she was in shock state, urgent exploratory laparatomy revealed ruptured rudimentary horn of the uterus with haemoperitonium and fetus in the abdominal cavity. Excision of accessory horn was done which was non- communicating.
Keywords
RUPTURED ECTOPIC PREGNANCY IN RUDIMENTARY HORN OF THE UTERUS

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