Full-Term Pregnancy in a Non-communicating Rudimentary Horn: A Case Report

Abstract

Unicornuate uterus with a rudimentary horn is a rare anomaly of the female genital system resulting from inco mplete development of one of the müllerian ducts. It might end in grave obstetrical and gynecological complications in the absence of early diagnosis and proper management. A rare case of a full-term pregnancy in a noncommunicating rudimentary horn is presented in this paper. A 24-year-old pregnant woman carrying the preliminary diagnosis of placenta percreta was referred to our clinic by reason of vaginal bleeding at a gestational age of 38 weeks. She underwent emergency cesarean section in our clinic, which led to the finding that her condition was not placenta percreta, but a full-term pregnancy in a non-communicating rudimentary horn. The need for a high index of suspicion as well as the use of ultrasonography plays a key role in the early diagnosis of this rare condition. Rudimentary horn pregnancy must be suspected in patients referred with the preliminary diagnosis of placenta percreta.

Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D‐ultrasound and primary laparoscopic management

“…Diagnosing uterine anomalies early, if possible during adolescents, and later during early pregnancy period will help to reduce morbidity and mortality with uterine rupture being as high as 80%, 5 most uterine horn rupture occurring at 10‐15 weeks of gestation 6,7 . There have been reports of pregnancy in rudimentary horn up till term, live 8,9 and with fetal demise 2 but such conditions are extremely rare and should be avoided. If the clinician has an ectopic mind and is suspicious that he's dealing with ectopic pregnancy, he should keep in mind that he may be dealing with a uterine anomaly, else diagnosis may be missed.…”