title: Post term pregnancy in a non-communicating rudimentary horn of a unicornuate uterus.
abstract: BACKGROUND
  Pregnancy in a rudimentary horn of a unicornuate uterus is rare in obstetrics and when it occurs, it seldom progresses to term as ruptures frequently occur before the third trimester.
  
  
  METHODS
  A 29 year old female, presented at 42 weeks 5 days complaining of absent foetal movements, with results of a self-prescribed ultrasound scan showing an "abdominal pregnancy with foetal demise". She was haemodynamically stable and there were no foetal heart tones. At laparotomy, a non-communicating rudimentary horn pregnancy (RHP) was discovered. The right horn and tube were resected, with delivery of a post term female stillbirth. There were no postoperative complications.
  
  
  CONCLUSIONS
  Rudimentary horn pregnancies are difficult to diagnose when advanced; especially in low-resource settings with suboptimal antenatal care. Maternal and foetal outcomes in RHPs are usually poor; RHPs should therefore be suspected in pregnancies with atypical ultrasonographic features and more investigations done to confirm the diagnosis in order to reduce the associated morbidity and mortality.
authors.affiliation: Mboppi Baptist Hospital Douala, P.O Box 15161, Akwa/Douala, Douala, Cameroon. vitalfeteh@gmail.com.|Health and Human Development (2HD) Research Group, Douala, Cameroon. vitalfeteh@gmail.com.
authors.forename: Vitalis Fambombi
authors.initials: VF
authors.lastname: Feteh
authors.affiliation: Health and Human Development (2HD) Research Group, Douala, Cameroon.|Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Christian Akem
authors.initials: CA
authors.lastname: Dimala
authors.affiliation: Health and Human Development (2HD) Research Group, Douala, Cameroon.|Regional Hospital Bamenda, North West Region, Bamenda, Cameroon.
authors.forename: Tsi
authors.initials: T
authors.lastname: Njim
authors.affiliation: Mboppi Baptist Hospital Douala, P.O Box 15161, Akwa/Douala, Douala, Cameroon.
authors.forename: Bananga
authors.initials: B
authors.lastname: Fuka
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging*; D050497:Stillbirth; D016216:Ultrasonography, Prenatal / Q000379:methods; D014591:Uterine Diseases / Q000000981:diagnostic imaging*; D014599:Uterus / Q000002:abnormalities / Q000000981:diagnostic imaging*
keywords: Cameroon; Post term; Rudimentary horn pregnancy; Stillbirth; Unicornuate uterus