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Our aim is to feature the management of ectopic pregnancy in a non-communicating rudimentary horn. It has a remarkable life-threatening potential, being rare and difficult to be considered during differential diagnosis of acute abdomen or sudden maternal collapse in early pregnancy. Therefore, this is a report of mid-trimester triplet's ectopic pregnancy which presented with sudden repeated syncopal attacks and hemodynamic instability that necessitated emergency laparotomy to treat ruptured non-communicating rudimentary horn. The rarity of this clinical condition can lead to multiple challenges. When a diagnosis is confirmed, the intervention plans should be independently tailored based on the patient's age, obstetric history, fertility wishes, as well as, surgeon's experience. Moreover, most cases passed unnoticed till complications took place. Thus, early diagnosis of Mullerian anomalies preconceptionally or even during the initial antenatal visits is crucial step regarding the avoidance of such catastrophic maternal outcomes.

Foundation: Miscarriage occurs when a pregnancy ends before 20 weeks of gestation or when an embryo is conceived that weighs less than 500 grams. Inducing early termination with drugs is a medical treatment mediation option with financial benefits but lower outcomes, and a 60 to 95 percent success rate. The aim of this study was to determine the efficacy and safety of letrozole pretreatment with misoprostol versus misoprostol alone in the treatment of missed firsttrimester abortions. The outpatient clinic and emergency division of the obstetrics and gynecology department at Banha university hospitals were the focus of this investigation. For each patient, an itemized history was taken and a careful review was completed. Basic tests such as hemoglobin, blood collection, RH, and trans-vaginal ultrasound were also performed on patients prior to the investigation First group, the patients were given 600 mcg of misoprostol (three tablets, each 200 mcg) orally as a single dose. second group, the patients were given letrozole 10 mg (4 tablets, each 2.5 mg) as a single dose for three days, followed by 600 mcg misoprostol orally. Results and end: When letrozole is used before misoprostol for the termination of a missed abortion in the first trimester, the full fetus removal rate is higher than when misoprostol is used alone. Along these lines, in cases of first trimester missed abortion, it is recommended to use letrozole accompanied by misoprostol instead of misoprostol alone for enlistment of early termination.

Background: Globally, caesarean sections (CS) are on the rise. It is among the most frequently performed major obstetric surgeries. This study aimed to evaluate the outcomes of closure versus non-closure of the visceral and parietal peritoneum. Methods: This randomized blinded controlled clinical trial was carried out on 400 consenting women undergoing CS. All pregnant women were randomized into one of the four equal groups: Group 1: Closure of parietal peritoneum only, group 2: Closure of visceral and parietal peritoneums, group 3: No closure of peritoneums, and group 4: Closure of the visceral peritoneum only Results: Surgery duration was considerably lower in Group 3 which was 25 min in average while group 2 showed the longer Duration of Surgery 34 min in average (p<0.001). There was a considerably significant difference between 4 groups according to post-operative patients' satisfaction VAS (p=0.04), and Analgesics used (Pethidine 10mg/ ml) as the lowest amount was in group 3 (1.83 ml) and the highest amount was in group 2 (2.31 ml) (p<0.0001). Conclusion: For visceral and parietal peritoneum in CS, the non-closure approach is recommended due to its much shorter operating time and lower postoperative pain score. As a result of these advantages, it may be preferred as a method of treating CS patients.