Rudimentary horn pregnancy mimicking tubal ectopic pregnancy: a diagnostic dilemma.
Heena N Rajput, Kishor P Chauhan, Pamisa Prashant Hastak et al.
✦ AI-curated · Sources linked
Case in brief
A woman in her 20s presented with 6 weeks of amenorrhea and a positive urine pregnancy test. Transvaginal ultrasound suggested an ectopic pregnancy with a gestational sac in the right adnexa and an empty uterine cavity. Diagnostic laparoscopy confirmed a right rudimentary horn pregnancy, which was excised along with the fallopian tube. The postoperative recovery was uneventful, and histopathology confirmed gestational tissue.
What made this case unusual
The case exemplifies the diagnostic challenge of differentiating between rudimentary horn pregnancy and tubal ectopic pregnancy, which can lead to significant clinical implications.
Diagnostic / clinical pearl
Clinicians should consider rudimentary horn pregnancy in cases of suspected ectopic pregnancy, especially when ultrasound findings show an empty uterine cavity.
Why it matters
Early recognition and surgical intervention are crucial to prevent the severe complications associated with rudimentary horn pregnancies, including uterine rupture and life-threatening hemorrhage.