title: Ruptured Rudimentary Horn Pregnancy Diagnosed by Preoperative Magnetic Resonance Imaging Resulting in Fetal Salvage.
abstract: Pregnancy in a rudimentary horn is very rare. The rupture of the horn during pregnancy is an obstetric emergency which can be life-threatening for both the mother and fetus. Preoperative diagnosis of such pregnancies can be challenging and they are usually diagnosed intraoperatively. We report a unique case of a 31-year-old multiparous woman who presented to the Sultan Qaboos University Hospital in Muscat, Oman, in January 2013 at 32 gestational weeks with abdominal pain. Ultrasonography was inconclusive. A rudimentary horn pregnancy was subsequently diagnosed via magnetic resonance imaging (MRI). An emergency laparotomy revealed haemoperitoneum and a ruptured rudimentary horn pregnancy. A live baby with an Apgar score of 2 at one minute and 7 at five minutes was delivered. The rudimentary horn with the placenta in situ was excised and a left salpingo-oophorectomy was performed. The postoperative period was uneventful. The authors recommend MRI as an excellent diagnostic modality to confirm rudimentary horn pregnancies and to expedite appropriate management.
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Silja A
authors.initials: SA
authors.lastname: Pillai
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Mariam
authors.initials: M
authors.lastname: Mathew
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Noreen
authors.initials: N
authors.lastname: Ishrat
authors.affiliation: Radiology & Molecular Imaging, Sultan Qaboos University Hospital;
authors.forename: Anupam
authors.initials: A
authors.lastname: Kakaria
authors.affiliation: Pathology, Sultan Qaboos University Hospital;
authors.forename: Asim
authors.initials: A
authors.lastname: Qureshi
authors.affiliation: Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
authors.forename: Gowri
authors.initials: G
authors.lastname: Vaidyanathan
keywords: Case Report; Live Birth; Magnetic Resonance Imaging; Oman; Pregnancy; Uterus, abnormalities