title: Laparoscopic management of a 16-week ruptured rudimentary horn pregnancy: a case and literature review.
abstract: BACKGROUND
  Pregnancy in a rudimentary horn is although rare, but is associated with the risk of rupture and life threatening hemorrhage. With the use of ultrasound the diagnosis can be made before symptoms occur. Management usually consists of excision of the rudimentary horn along with the pregnancy and the ipsilateral tube, traditionally by laparotomy.
  
  
  METHODS
  We present a case of a 16-week ruptured rudimentary horn pregnancy diagnosed intraoperatively and managed laparoscopically in the presence of massive haemoperitoneum, which is first of its kind along with literature review.
  
  
  CONCLUSIONS
  This case demonstrates that laparoscopy is a feasible approach and can provide rapid diagnosis and control of bleeding in such cases provided there is availability of efficient multi-disciplinary teamwork, optimal anesthesia, advanced cardiovascular monitoring, laparoscopic expertise and ability to convert rapidly to laparotomy if required.
authors.affiliation: Department of Obstetrics and Gynecology, Whipps Cross University Hospital, London E11 1NR, UK.
authors.forename: Anupama
authors.initials: A
authors.lastname: Shahid
authors.forename: Oladimeji
authors.initials: O
authors.lastname: Olowu
authors.forename: Gomathy
authors.initials: G
authors.lastname: Kandasamy
authors.forename: Charlie
authors.initials: C
authors.lastname: O'Donnell
authors.forename: Funlayo
authors.initials: F
authors.lastname: Odejinmi
mesh_terms: D000328:Adult; D005260:Female; D006465:Hemoperitoneum / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010121:Oxytocin / Q000627:therapeutic use; D011247:Pregnancy; D014463:Ultrasonography; D014597:Uterine Rupture / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000187:drug effects / Q000601:surgery*; D014667:Vasopressins / Q000627:therapeutic use
chemical_list: D014667:Vasopressins; D010121:Oxytocin