title: Diagnosis and management of a ruptured rudimentary horn pregnancy in a low-resource setting.
abstract: A 22-year-old woman presented with amenorrhoea, lower abdominal pain and brown vaginal discharge. She was noted to be in hypovolaemic shock with a distended and peritonitic abdomen. On bimanual examination, the uterus was not palpated, the posterior fornix was full and cervical excitation was present. A clinical diagnosis of a ruptured ectopic pregnancy was made. She was resuscitated and an emergency laparotomy was performed. Intraoperatively, a ruptured rudimentary horn with an ex utero pregnancy was discovered. The right horn and tube were removed, as was the non-viable fetus. There were no postoperative complications and the patient was discharged after 5 days of observation.
authors.affiliation: Department of Obstetrics, Lower Umfolozi District War Memorial Hospital, Empangeni, KZN, South Africa.
authors.forename: Hannah
authors.initials: H
authors.lastname: Nathan
authors.forename: Alvin
authors.initials: A
authors.lastname: Sornum
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery; D055815:Young Adult