2006-04-06-14 Rudimentary horn pregnancy
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Rudimentary horn pregnancy
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.
Note the fetus inside the rudimentary horn above the normal uterus
The normal uterus and the fetus inside the rudimentary horn
The rudimentary horn with a rupture in the fundus
Note the rudimentary horn attached to the normal uterus
Rupture of rudimentary horn pregnancy