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Case Reports
. 2022 Jun 14:10:2050313X221104034.
doi: 10.1177/2050313X221104034. eCollection 2022.

Non-communicated rudimentary uterine horn pregnancy and uterine rupture: A case report

Li Wang  1 , Songtao Ren  1   2 , Yan Zhang  3 , Wei Liu  3 , Wentian Shi  3
Affiliations
Case Reports

Non-communicated rudimentary uterine horn pregnancy and uterine rupture: A case report

Li Wang et al. SAGE Open Med Case Rep. .

Abstract

Rudimentary uterine horn pregnancy is a rare and serious type of ectopic pregnancy and is hard to diagnose due to a lack of typical clinical symptoms at the early stage. A 35-year-old woman who was17 weeks pregnant and had a complicated history of infertility came to our hospital complaining of abdominal pain without vaginal bleeding. Computed tomography scan after 12 hours showed that her pregnancy was in the small cavity of a rudimentary uterine horn, which had ruptured. Noncommunicating rudimentary uterine horn pregnancy is an extremely rare form of ectopic gestation, and its diagnosis and management remain challenging. Nevertheless, physician awareness of various forms of unicornuate uteri and rudimentary uterine horn can save lives.

Keywords: Rudimentary uterine horn pregnancy; case report; laparotomy; risk management; uterine rupture.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Vertical section and transverse section image of abdominal CT scan. CT scan detected the fetus in uterus and increased density in the pelvic cavity, as well as the uterine rupture location (marked by white arrow).
Figure 2.
Figure 2.
The patient underwent an emergency laparotomy. We identified the source of the bleeding to be a thin rudimentary uterine horn which has ruptured and which was still bleeding heavily. Besides the crevasse, there was little dead fetus and its affiliations.
Figure 3.
Figure 3.
Schematic figure of this case.
See this image and copyright information in PMC

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