alexa The Unchartered Waters of Obstetrics - Rupture of Nonco
ISSN: 2161-0932

Gynecology & Obstetrics
Open Access

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Case Report

The Unchartered Waters of Obstetrics - Rupture of Noncommunicating Rudimentary Horn Pregnancy (Rnhp) in a Bicornuate Uterus

Tanushree Sandipta Rath1, Soubhagya Ranjan Tripathy2*, Subhashree Rout3 and Jagannath Mishra3

1Senior Resident, Department of O&G, SCB Medical College Hospital, Cuttack, Odisha, India

2Mch Resident, Department of Neurosurgery, SCB Medical College Hospital, Cuttack, Odisha, India

3Junior Resident, Department of O&G, SCB Medical College Hospital, Cuttack, Odisha, India

*Corresponding Author:
Soubhagya Ranjan Tripathy
Department of Neurosurgery
SCB Medical College Hospital
Cuttack, Odisha, India
Tel: +91-9861008487
E-mail: [email protected]

Received date November 20, 2015; Accepted date December 08, 2015; Published date January 10, 2016

Citation: Rath TS, Tripathy SR, Rout S, Mishra J (2016) The Unchartered Waters of Obstetrics - Rupture of Noncommunicating Rudimentary Horn Pregnancy (Rnhp) in a Bicornuate Uterus. Gynecol Obstet (Sunnyvale) 6:347. doi:10.4172/2161-0932.1000347

Copyright: © 2016 Rath TS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Mullerian duct anomalies in female result from failure of complete development of one duct and incomplete fusion of other duct during embryonic life. Bicornuate uterus with rudimentary horn (BURH) is the rarest uterine anomaly. Pregnancy in rudimentary horn is even rarer, i.e. 1:1,40,000 pregnancies. Case description: A 24-year-old primigravida presented with acute pain abdomen and amenorrhoea for 16 weeks. She was severely pale and was in hypovolemic shock, with diffuse tenderness, guarding and rigidity of abdomen. Per vaginal examination revealed a bulky uterus with motion tenderness and full fornices. On laparotomy there was hemoperitoneum along with rupture of left horn of the bicornuate uterus. The placenta was inside the rudimentary horn, and the horn was non-communicating with the body of the uterus. It was excised completely. An abortus of 16 weeks size was lying within intact membranes, and was found free within the abdominal cavity. Conclusion: A second trimester pregnancy with features of ruptured ectopic should be screened for the associated uterine anomalies. Rupture of the rudimentary horn of the uterus is one of the important but rare causes of acute abdomen. A high index of suspicion is warranted in cases of advanced gestation presenting with acute abdomen, especially in developing countries like India, where the possibility of early detection before rupture is unlikely, culminating in maternal demise.

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