Spontaneous second-trimester ruptured pregnancy of rudimentary horn: a case report in Yaounde, Cameroon.
Rudimentary uterine horn pregnancy is rare and, to our knowledge, has not been previously reported in Cameroon. We herein report the case of a 22 year old second gravida referred for acute abdominal pain at 17 weeks of gestation. Physical examination revealed hemoperitoneum with hypovolemic shock. After resuscitation, an emergency exploratory laparotomy was done and we found hemoperitoneum of 3,500 milliliters, a bicornuate uterus with a ruptured right rudimentary communicating horn containing a non viable foetus. There were no other abnormalities. We performed an excision of the rudimentary horn with ipsilateral salpingectomy. Post-operative course was uneventful and the woman was discharged seven days later. This case emphasizes the importance of good antenatal care to avoid complications.
Obstetrics and Gynecology Unit of the Yaounde Central Hospital, Yaounde, Cameroon.
Florent Ymele
FY
Fouelifack
Department of Obstetrics and Gynecology of the Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, Yaounde, Cameroon.
Jovanny Tsuala
JT
Fouogue
Department of Obstetrics and Gynecology of the Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, Yaounde, Cameroon.
John Owoudou
JO
Messi
Department of Obstetrics and Gynecology of the Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, Yaounde, Cameroon.
Danielle Tiako
DT
Kamga
Obstetrics and Gynecology Unit of the Yaounde Central Hospital, Yaounde, Cameroon ; Department of Obstetrics and Gynecology of the Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, Yaounde, Cameroon.
Jeanne Hortence
JH
Fouedjio
Department of Anatomy and Morphological Sciences of Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, Yaounde, Cameroon.
Zacharie
Z
Sando
D002163:Cameroon; D005260:Female; D006801:Humans; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011271:Pregnancy, Ectopic / Q000175:diagnosis*; D012422:Rupture, Spontaneous; D014599:Uterus / Q000002:abnormalities*; D055815:Young Adult
Cameroon; Ectopic pregnancy; emergency; rudimentary uterine horn; rupture