AI Article Synopsis

  • Developmental problems with the genital tract happen when parts of certain ducts don't fuse properly during fetal development.
  • A 24-year-old woman had a rare condition called ruptured rudimentary horn pregnancy that almost caused her death.
  • Doctors performed emergency surgery when they saw she had a serious internal bleeding, highlighting the importance of recognizing unusual pregnancy issues in patients with severe abdominal pain.

Article Abstract

Developmental anomalies of genital tract result from defective fusion and absorption of various parts of Mullerian ducts in fetal life. Rudimentary horn pregnancy (RHP) is a rare occurrence of one in 76,000 and one in 160,000. We present a case of a 24-year-old primigravida with ruptured RHP initially managed in the line of an intrauterine pregnancy with severe anemia. Hemodynamic instability made us suspect ruptured RHP and lifesaving laparotomy was performed for the same. A 1.5-liter hemoperitoneum was encountered with a right RHP. Multiple adhesions were present with necrotic tissue adherent and clumped together as tubo-ovarian mass. Resection of rudimentary horn was performed. We report this case to emphasize the need to consider rare uterine anomalies as a possibility in patients presenting with acute abdomen in early pregnancy. So, Obstetricians can consider these rare entities in differential diagnosis and management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185312PMC
http://dx.doi.org/10.31729/jnma.8617DOI Listing

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