Ruptured Ectopic Pregnancy in an Accessory Horn of Uterus: A Case Report

A unicornuate uterus with an accessory horn is one of the rarest congenital uterine anomalies; hence, the possibility of ectopic pregnancy in the accessory uterine horn is highly uncommon. It poses a significant risk to maternal life, as it is difficult to identify before surgery due to the severe hemoperitoneum in the event of rupture of the ectopic pregnancy. We report a case of a 20-year-old primigravida who presented to the emergency department of Civil Hospital Karachi, with sudden onset of generalized abdominal pain, vomiting, and dizziness at 17 weeks of gestation. Emergency ultrasonography of the abdomen showed extensive echogenic fluid, which was considerably obscuring the view. An empty uterus was seen with a complex cystic mass on its right side separate from the ovary. A ruptured ectopic pregnancy was suspected, and hence, the patient was immediately shifted to the operating room. Emergency laparotomy was done which then showed ruptured ectopic pregnancy with a viable fetus in a right-sided rudimentary horn of the uterus. The horn was excised. The patient recovered well, and the postoperative course was uneventful.

Authors
Abbasi Z.1 , Das S.2 , Thapa U.3 , Aryal S. 4 , Mughal S.5
Number of issue
12
Language
English
Status
Published
Number
e6436
Volume
11
Year
2019
Organizations
  • 1 Liaquat Univ Med & Hlth Sci, Internal Med, Jamshoro, Pakistan
  • 2 Sindh Govt Lyari Gen Hosp, Emergency Med, Karachi, Pakistan
  • 3 Chongqing Med Univ, Internal Med, Chongqing, Peoples R China
  • 4 Peoples Friendship Univ Russia, Internal Med, Moscow, Russia
  • 5 Civil Hosp Karachi, Emergency Med, Karachi, Pakistan
Keywords
mullerian duct anomalies; accessory horn of uterus; ectopic pregnancy; hemoperitoneum
Date of creation
10.02.2020
Date of change
10.02.2020
Short link
https://repository.rudn.ru/en/records/article/record/56635/
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