Ruptured ectopic pregnancy in rudimentary horn

Nivedita Goverdhan, Alka Patankar
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 1247–1250 · doi:10.18203/2320-1770.ijrcog20160896 · W2323385307
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-09-25 ⓘ

A 23-year-old woman with a unicornuate uterus and rudimentary horn presented with hemorrhagic shock from a ruptured ectopic pregnancy, highlighting the difficulty of diagnosing this rare Mullerian anomaly complication before rupture.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-09 · read from full text ⓘ

This case report describes a 23-year-old woman presenting with hemorrhagic shock due to a ruptured ectopic pregnancy located in a non-communicating rudimentary horn of a unicornuate uterus. The patient underwent laparotomy following resuscitation, where intraoperative findings revealed three liters of hemoperitoneum and a fetus weighing approximately 250 grams recovered from the peritoneal cavity after excision of the rudimentary horn. The authors emphasize that such pregnancies are difficult to diagnose prior to rupture, often leading to life-threatening intraperitoneal hemorrhage, particularly in settings where early detection is unlikely. Relevance to endometriosis: listed as one of several gynecological complications associated with mullerian abnormalities like a unicornuate uterus with a rudimentary horn.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

A unicornuate uterus with a rudimentary horn is a rare mullerian abnormality which may cause many gynaecological and obstetrical complications like infertility, endometriosis, hematometra, abortions, and preterm deliveries; and is usually associated with urinary tract anomalies. Pregnancy in a non-communicating rudimentary horn is very difficult to diagnose before it ruptures, leading to life -threatening intraperitoneal hemorrhage, which usually presents in the second or third trimester. A 23 year old G2P1L1 in lactational amenorrhea was admitted to the labour room with haemorrhagic shock. Provisionally diagnosed as ruptured ectopic pregnancy, patient was taken for laparotomy after resuscitation. Intraoperative findings were: haemoperitoneum of 3 liters, unicornuate uterus with a ruptured left rudimentary non-communicating horn containing products of conception, and macroscopically normal fallopian tubes and ovaries. The left adnexa were attached to the rudimentary horn. Excision of the rudimentary horn was done. The fetus, weighing about 250 grams, was recovered en-sac from the peritoneal cavity. There is a need for an increased awareness of rudimentary horn pregnancy especially in developing countries where the possibility of detection before pregnancy or before the rupture is unlikely, and precious time is lost in shifting these women to the referral hospital.
Full text 4,978 characters · extracted from oa-doi-fallback · click to expand
Ruptured ectopic pregnancy in rudimentary horn DOI: https://doi.org/10.18203/2320-1770.ijrcog20160896Keywords: Ruptured ectopic, Rudimentary horn pregnancy, Unicornuate uterusAbstract A unicornuate uterus with a rudimentary horn is a rare mullerian abnormality which may cause many gynaecological and obstetrical complications like infertility, endometriosis, hematometra, abortions, and preterm deliveries; and is usually associated with urinary tract anomalies. Pregnancy in a non-communicating rudimentary horn is very difficult to diagnose before it ruptures, leading to life -threatening intraperitoneal hemorrhage, which usually presents in the second or third trimester. A 23 year old G2P1L1 in lactational amenorrhea was admitted to the labour room with haemorrhagic shock. Provisionally diagnosed as ruptured ectopic pregnancy, patient was taken for laparotomy after resuscitation. Intraoperative findings were: haemoperitoneum of 3 liters, unicornuate uterus with a ruptured left rudimentary non-communicating horn containing products of conception, and macroscopically normal fallopian tubes and ovaries. The left adnexa were attached to the rudimentary horn. Excision of the rudimentary horn was done. The fetus, weighing about 250 grams, was recovered en-sac from the peritoneal cavity. There is a need for an increased awareness of rudimentary horn pregnancy especially in developing countries where the possibility of detection before pregnancy or before the rupture is unlikely, and precious time is lost in shifting these women to the referral hospital.Metrics References Stovall TG, McCord ML. Early pregnancy loss and ectopic pregnancy. In: Berek JS, Adashi EY, Hillard PA, editors. Novak’s Gynecology. 12th edition. Baltimore: William & Wilkins; 1996. pp. 487-523. Hassan CHC, Kadir A, Karim A, Ismail NAM, Omar MH. Case report of ruptured non-communicating right rudimentary horn pregnancy: an acute emergency. Acta Medica. 2011;54(3):125-6. Simon C, Martinez L, Pardo F, Tortajada M, Pellicer A. Mullerian defects in women with normal reproductive outcome. Fertility and Sterility. 1991;56(6):1192-3. Sevtap HK, Aral AM, Sertac B. An early diagnosis and successful local medical treatment of a rudimentary uterine horn pregnancy: a case report. Archives of Gynecology and Obstetrics. 2007;275(4):297-8. Mauriceau F. Traite des maladaies des femmes grosses. Vol. 1. Paris, France: Compaigne des libraries; 1721. O’leary JL, O’leary JA. Rudimentary horn pregnancy. Obstetrics and Gynecology. 1963;22:371-4. Chowdhury S, Chowdhury T, Azim E. Pregnancy in a non-communicating rudimentary horn of uterus: a clinical case report. Bangladesh Medical Journal. 2010;39(1):47-8. Kadan Y, Romano S. Rudimentary horn pregnancy diagnosed by ultrasound and treated by laparoscopy -a case report and review of the literature. Journal of Minimally Invasive Gynecology. 2008;15(5):527-30. Nahum G. Rudimentary uterine horn pregnancy: the 20th-century worldwide experience of 588 cases.Journal of Reproductive Medicine. 2002;47(2):151-63. Fedele L, Dorta M, Vercellini P, Brioschi D, Candiani GB. Ultrasound in the diagnosis of subclasses of unicornuate uterus. Obstetrics and Gynecology. 1988;71(2):274-7. Jayasinghe Y, Rane A, Stalewski H, Grover S. The presentation and early diagnosis of the rudimentary uterine horn. Obstetrics and Gynecology. 2005;105(6):1456-67. Kriplani A, Relan S, Mittal S, Buckshee K. Pre-rupture diagnosis and management of rudimentary horn pregnancy in the first trimester. Eur J Obstet Gynecol Reprod Biol 1995; 58:203-5. Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimentary horn pregnancy: first-trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging. Journal of Ultrasound in Medicine. 2005;24(2):219-23. Samuels TA, Awonuga A. Second-trimester rudimentary uterine horn pregnancy: rupture after labor induction with misoprostol. Obstetrics and Gynecology. 2005;106(5):1160-2. Deepa V. Kanagal and Lokeshchandra C. Hanumanalu. Ruptured Rudimentary Horn Pregnancy at 25 Weeks with Previous Vaginal Delivery: A Case Report. Case Rep Obstet Gynecol. 2012; 2012: 985076. Dulemba JF, Midgett WA, Freeman MV. Laparoscopic management of a rudimentary horn pregnancy. J Am Assoc Gynecol Laparosc 1996;3:S10-1. Dicker D, Nitke S, Shoenfeld A, Fish B, Meizner I, Ben-Rafael Z. Laparoscopic management of rudimentary horn pregnancy. Hum Reprod. 1998;13:2643-4. Yoo EH, Chun SH, Woo BH. Laparoscopic resection of a rudimentary horn pregnancy. Acta Obstetricia et Gynecologica Scandinavica. 1999;78(2):167-8. Yahata T, Kurabayashi T, Ueda H, Kodama S, Chihara T, Tanaka K. Laparoscopic management of rudimentary horn pregnancy: a case report. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1998;43(3):223-6. Edelman AB, Jensen JT, Lee DM, Nichols MD. Successful medical abortion of a pregnancy within a noncommunicating rudimentary uterine horn. Am J Obstet Gynecol. 2003;189:886-7.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisinfertility

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (17)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK