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Rudimentary Horn Pregnancy: Early Diagnosis and Optimal Management of a Rare Obstetric Emergency

Year: 2025

Type: article

Abstract: Rudimentary horn pregnancy is a rare and high-risk form of ectopic pregnancy, often linked to Müllerian duct anomalies.Early diagnosis and timely intervention are critical to prevent life-threatening complications such as uterine rupture.We report the case of a 31-year-old nulligravida presenting with progressive left-sided pelvic pain and two months of amenorrhea.Transvaginal ultrasonography identified an 8-week gestation within a non-communicating rudimentary horn, measuring 4.5 cm × 3.2 cm with a myometrial thickness of 3 mm at the thinnest segment, prompting urgent surgical management.The patient underwent successful resection of the rudimentary horn and ipsilateral salpingectomy, with no postoperative complications.Histopathological findings confirmed the diagnosis.This case highlights the importance of early imaging and prompt surgical intervention in managing this rare condition, emphasizing the need for long-term obstetric follow-up to ensure optimal outcomes in future pregnancies.

Source: OALib

DOI: 10.4236/oalib.1113318

Authors: Karam Harou, Ayoub Ezzidi, Bouchra Fakhir, Hamid Asmouki, Abderraouf Soumani

Institution: Centre Hospitalier Universitaire Mohammed VI

Language: English

Topic: Ectopic Pregnancy Diagnosis and Management

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409551763

FWCI: 0.849

Cites: 21

Cited by: 1

Related to: 10