Rudimentary horn pregnancy

Marcos Velasco Sanchez, MD Romel Flores Virgilio, MD

Instituto de Diagnostico por Imagen, Hospital General de Acapulco, Mexico

This is an 18-year-old-woman referred to our unit with a severe abdominal pain.  An ultrasound scan was performed and revealed a normal uterus with a rudimentary horn attached in the right side. There was a pregnancy in the rudimentary horn compatible with 16 weeks and a severe hemoperitoneum. Rupture of rudimentary horn pregnancy was suspected. Laparotomy was performed. There were a didelphic uterus, with a rudimentary horn and approximately 1500ml of blood inside the abdomen.

Right image: Note the hemoperitoneum.

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Note the fetus inside the rudimentary horn above the normal uterus

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The normal uterus and the fetus inside the rudimentary horn

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The rudimentary horn with a rupture in the fundus

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Note the rudimentary horn attached to the normal uterus

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Rupture of rudimentary horn pregnancy

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