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Forensic Sci Med Pathol ; 19(3): 382-387, 2023 09.
Article in English | MEDLINE | ID: mdl-35877006

ABSTRACT

Pregnancy on a rudimentary uterine horn is a rare condition that can lead to a catastrophic outcome when it ruptures. The majority of cases are diagnosed late, after the rupture has occurred. We present the case of a 29-year-old female G2 P1 who complained of abdominal pain. She consulted a medical practitioner who prescribed her analgesics. In the next day, she was found dead in her bedroom. The pregnancy was undiagnosed as she was not aware that she was in a gravid state. At autopsy, there was massive haemoperitoneum and a 24-week gestation foetus lying outside the uterus. The uterus revealed an anomaly in keeping with a non- communicating rudimentary horn. Forensic pathologists do encounter undiagnosed ectopic pregnancies in practice. However, abdominal ectopic pregnancy with a uterine anomaly remains uncommon. These cases are often associated with a high maternal and foetal mortality.


Subject(s)
Maternal Death , Pregnancy, Ectopic , Uterine Rupture , Humans , Pregnancy , Female , Adult , Autopsy , Pregnancy, Ectopic/diagnosis , Uterus , Death, Sudden/etiology
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