PT  - JOURNAL ARTICLE
AU  - Abdullah A. Al Qarni
AU  - Nawal Al-Braikan
AU  - Moh’d M. Al-Hanbali
AU  - Abdullah H. Alharmaly
TI  - Rupture rudimentary horn pregnancy at 31 week
AID  - 10.15537/smj.2017.2.16016
DP  - 2017 Feb 01
TA  - Saudi Medical Journal
PG  - 201--203
VI  - 38
IP  - 2
4099  - http://smj.org.sa/content/38/2/201.short
4100  - http://smj.org.sa/content/38/2/201.full
SO  - Saudi Med J2017 Feb 01; 38
AB  - Rudimentary horn could be a rare congenital uterine anomalies result from incomplete fusion of the 2 Müllerian ducts throughout embryo-genesis. Pregnancy in an exceedingly rudimentary horn is rare and typically terminates in rupture throughout the late of first or second trimester of pregnancy. We tend to present a rare case of a gravida within the trimester (31 weeks) presented with complain of abdominal pain, nausea, and vomit for 3 days. On presentation, the patient was pale and irritable. Ultrasound scan showed fetus at (30 weeks) with cardiac activity. Cardiotocography reactive. Incision showed horned uterus with pregnancy in rudimentary left horn that was ruptured. Alive fetus was delivered. The rudimentary left horn was excised. The patient was advised to not get pregnant for 3 years. Within one year, the patient came to hospital in active labor at (37 weeks). This case emphasizes the importance of fine antepartum care to avoid morbidity and mortality.