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Title: RARE CASE OF 10-WEEK PREGNANCY LOSS IN NON-COMMUNICATING RUDIMENTARY HORN OF UNICORNUATE UTERUS: DIAGNOSTIC AND MANAGEMENT CHALLENGES
e-poster Number: EP 363
Category: Endoscopy and Gynaecologic Surgery
Author Name: Dr. Shruti Budania
Institute: Sardar Patel medical college bikaner
Co-Author Name:
Abstract :
Introduction : A unicornuate uterus with a non-communicating rudimentary horn is a rare congenital anomaly. Pregnancy in this horn, carries high risks of rupture and complications. Aims and Objectives:?To describe a rare case of a non-communicating rudimentary horn pregnancy in an 18-year-old primigravida, analyzing clinical presentation, diagnostic challenges, and management strategies to highlight the importance of early detection and effective intervention in such cases. Material and Methods : We report an 18-year-old primigravida presenting with 10 weeks and 3 days of amenorrhea and lower abdominal pain. Clinical examination revealed a tender adnexal mass, confirmed by transvaginal ultrasound as a non-viable ectopic pregnancy in the right rudimentary horn. Emergency laparotomy was performed, revealing a 5?5 cm right cornual pregnancy, managed by cornuostomy and right salpingectomy to preserve fertility. Postoperative recovery was uneventful. Results : The patient presented with abdominal pain and amenorrhea. Examination showed a tender adnexal mass; transvaginal ultrasound confirmed a 10-week non-viable ectopic pregnancy in the rudimentary horn. Serum ?-hCG was 252.18 mIU/mL. Emergency laparotomy revealed a 5?5 cm right cornual pregnancy, managed with cornuostomy and salpingectomy. Postoperatively, ?-hCG normalized, and the patient was discharged without complications. Follow-up counseling addressed future fertility and recommended cesarean delivery to prevent uterine rupture. Conclusion : A unicornuate uterus with a non-communicating rudimentary horn is a rare congenital anomaly that poses significant challenges as pregnancy advances, leading to severe complications like uterine rupture and hemoperitoneum. Early detection via first-trimester prenatal scans is crucial. In developing countries with limited access to advanced care, raising awareness and maintaining a high index of suspicion is essential for earlier diagnosis and prevention of life-threatening complications.
