A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn

A case report

Bhandary Amritha, Thirunavukkarasu Sumangali, Ballal Priya, Shedde Deepak, Rai Sharadha

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Introduction: Abdominal pregnancy is a rare event, but one that represents a grave risk to the health of the pregnant woman. An abdominal pregnancy is defined as an ectopic pregnancy that implants in the peritoneal cavity. Early abdominal pregnancy is self-limited by hemorrhage from trophoblastic invasion with complete abortion of the gestational sac that leaves a discrete crater. Advanced abdominal pregnancy is a rare event, with high fetal and maternal morbidity and mortality. Case presentation: This is a case report of a 22-year-old primigravida with an abdominal pregnancy from a ruptured rudimentary horn. She was diagnosed as a case of term pregnancy with placenta previa with a transverse fetal lie and cervical fibroid and was prepared for an elective cesarean section. Intra-operatively, a live term female baby was extracted from the peritoneal cavity and it turned out to be an abdominal pregnancy from a ruptured rudimentary horn of a unicornuate uterus, which is a very rare condition. Mother and baby were in good condition after such a catastrophic event. Conclusion: This case illustrates a rare obstetric condition which can be a severe catastrophic condition leading to maternal mortality and morbidity. It is imperative for every obstetrician to have in mind the possibility of abdominal pregnancy, although rare, especially in pregnant patients with persistent abdominal pain and painful fetal movements.

Original languageEnglish
Article number38
JournalJournal of Medical Case Reports
Volume3
DOIs
Publication statusPublished - 29-01-2009
Externally publishedYes

Fingerprint

Abdominal Pregnancy
Horns
Rupture
Maternal Mortality
Peritoneal Cavity
Gestational Sac
Morbidity
Placenta Previa
Fetal Movement
Ectopic Pregnancy
Leiomyoma
Cesarean Section
Abdominal Pain
Obstetrics
Uterus
Pregnant Women
Mothers
Hemorrhage
Pregnancy
Health

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Amritha, Bhandary ; Sumangali, Thirunavukkarasu ; Priya, Ballal ; Deepak, Shedde ; Sharadha, Rai. / A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn : A case report. In: Journal of Medical Case Reports. 2009 ; Vol. 3.
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A rare case of term viable secondary abdominal pregnancy following rupture of a rudimentary horn : A case report. / Amritha, Bhandary; Sumangali, Thirunavukkarasu; Priya, Ballal; Deepak, Shedde; Sharadha, Rai.

In: Journal of Medical Case Reports, Vol. 3, 38, 29.01.2009.

Research output: Contribution to journalArticle

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