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 and C for the presumptive diagnosis of missed abortion few days' back/ Chronic ectopic pregnancy was diagnosed on the basis of history and examination, and her laparotomy was planned. Upon laparotomy, right-sided ruptured ectopic pregnancy in rudimentary horn of unicornuate uterus was found and ruptured horn was excised. The patient had uneventful recovery