The Importance of Initial Evaluation by Trans Vaginal Sonography in Rudimentary Horn Pregnancy: A Case Report and Literature Review

Rudimentary&nbsp; horn&nbsp; pregnancy&nbsp; (RHP)&nbsp; as&nbsp; a&nbsp; rare&nbsp; incidence&nbsp; has&nbsp; been&nbsp; estimated&nbsp; at&nbsp; 1:76,000- 1:150,000 pregnancies. It has been also reported that 80-90% of RHP lead to uterine rupture in second trimester.&nbsp; Early&nbsp; diagnosis&nbsp; with&nbsp; the&nbsp; use&nbsp; of&nbsp; 3-dimentional&nbsp; ultrasonography&nbsp; (3-DUS)&nbsp; that&nbsp; is&nbsp; followed by&nbsp; laparoscopic&nbsp; resection&nbsp; of&nbsp; RH&nbsp; and&nbsp; ipsilateral&nbsp; fallopian&nbsp; tube&nbsp; is&nbsp; likely&nbsp; to&nbsp; be&nbsp; considered&nbsp; as&nbsp; the&nbsp; best management strategy that prevents maternal morbidity and mortality. We present a case of 9-week pregnancy&nbsp; in&nbsp; a&nbsp; non-communicating&nbsp; rudimentary&nbsp; horn&nbsp; with&nbsp; positive&nbsp; fetal&nbsp; heart&nbsp; rate&nbsp; (FHR)&nbsp; that&nbsp; was diagnosed by 3-DUS and successfully treated with laparoscopic resection.</p