Ruptured rudimentary horn pregnancy diagnosed by preoperative magnetic resonance imaging resulting in fetal salvage

Silja A. Pillai, Mariam Mathew, Noreen Ishrat, Anupam Kakaria, Asim Qureshi, Gowri Vaidyanathan

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2 Citations (Scopus)


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 salpingooophorectomy 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.

Original languageEnglish
Pages (from-to)e429-e432
JournalSultan Qaboos University Medical Journal
Issue number3
Publication statusPublished - 2015



  • Abnormalities
  • Case report
  • Live birth
  • Magnetic resonance imaging
  • Oman
  • Pregnancy
  • Uterus

ASJC Scopus subject areas

  • Medicine(all)

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