RT Journal Article
SR Electronic
T1 Rupture rudimentary horn pregnancy at 31 week
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 201
OP 203
DO 10.15537/smj.2017.2.16016
VO 38
IS 2
A1 Al Qarni, Abdullah A.
A1 Al-Braikan, Nawal
A1 Al-Hanbali, Moh’d M.
A1 Alharmaly, Abdullah H.
YR 2017
UL http://smj.org.sa/content/38/2/201.abstract
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.