RUPTURE OF RUDIMENTARY HORN OF UTERUS AT 16 WEEKS OF GESTATION

Abstract

Rupture of gravid uterus is a rare but serious obstetric complication. Rupture in primigravida in first
or second trimester generally occurs in mullerian anomalies. A 24-year-old, primigravida, at 16 weeks gestation
presented with dull, lower abdominal pain, and tachycardia. She underwent D&C for the presumptive diagnosis of
missed abortion few days’ back. Chronic ectopic pregnancy was diagnosed on the basis of history & examination, and
her laparotomy was planned. Upon laparotomy, right-sided ruptured ectopic pregnancy in rudimentary horn of
unicornuate uterus was found & ruptured horn was excised. The patient had uneventful recovery.