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Scholars Journal of Medical Case Reports | Volume-3 | Issue-05
Unruptured Second Trimester Pregnancy in a Rudimentary Horn of Unicornuate Uterus: A Diagnostic Dilemma
Simarpreet Kaur, Bishan Dhiman, Uday Bhanu Rana
Published: May 30, 2015 |
181
164
DOI: 10.36347/sjmcr.2015.v03i05.001
Pages: 355-358
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Abstract
Unicornuate uterus with rudimentary horn is a rare mullerian anomaly of the uterus and pregnancy in a non-communicating rudimentary horn is very rare. In most of the cases, it is ruptured before diagnosis in first and second trimester due to poor distensibility of the myometrium. Catastrophic hemorrhage results due to rupture which further results in increased maternal and perinatal mortality and morbidity. Diagnosis before rupture is a challenge due to diagnostic dilemma. Expertise in ultrasonography is required and early resort to surgical management is lifesaving in such cases. Here is a case of unruptured ectopic pregnancy in the rudimentary horn of gestation 17 weeks which was diagnosed by ultrasound and MRI and patient was operated before any symptoms appeared.