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Case Reports
. 2016 Apr 11:9:209.
doi: 10.1186/s13104-016-2013-7.

Post term pregnancy in a non-communicating rudimentary horn of a unicornuate uterus

Vitalis Fambombi Feteh  1   2 , Christian Akem Dimala  3   4 , Tsi Njim  3   5 , Bananga Fuka  6
Affiliations
Case Reports

Post term pregnancy in a non-communicating rudimentary horn of a unicornuate uterus

Vitalis Fambombi Feteh et al. BMC Res Notes. .

Abstract

Background: Pregnancy in a rudimentary horn of a unicornuate uterus is rare in obstetrics and when it occurs, it seldom progresses to term as ruptures frequently occur before the third trimester.

Case history: A 29 year old female, presented at 42 weeks 5 days complaining of absent foetal movements, with results of a self-prescribed ultrasound scan showing an "abdominal pregnancy with foetal demise". She was haemodynamically stable and there were no foetal heart tones. At laparotomy, a non-communicating rudimentary horn pregnancy (RHP) was discovered. The right horn and tube were resected, with delivery of a post term female stillbirth. There were no postoperative complications.

Conclusion: Rudimentary horn pregnancies are difficult to diagnose when advanced; especially in low-resource settings with suboptimal antenatal care. Maternal and foetal outcomes in RHPs are usually poor; RHPs should therefore be suspected in pregnancies with atypical ultrasonographic features and more investigations done to confirm the diagnosis in order to reduce the associated morbidity and mortality.

Keywords: Cameroon; Post term; Rudimentary horn pregnancy; Stillbirth; Unicornuate uterus.

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Figures

Fig. 1
Fig. 1
Showing non communicating rudimentary horn pregnancy (R) connected to unicornuate uterus (U) through a fibrous band (B)
See this image and copyright information in PMC

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