Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 13 , ISSUE 1 ( January-February, 2021 ) > List of Articles


Spectrum of Rudimentary Horn Pregnancy: A Case Series

Prashanthi Selvaraj, Moushmi Parpillewar, Juzar Fidvi

Keywords : Rudimentary horn pregnancy, Rupture, Secondary abdominal pregnancy, Unicornuate uterus

Citation Information : Selvaraj P, Parpillewar M, Fidvi J. Spectrum of Rudimentary Horn Pregnancy: A Case Series. J South Asian Feder Obs Gynae 2021; 13 (1):61-65.

DOI: 10.5005/jp-journals-10006-1852

License: CC BY-NC 4.0

Published Online: 00-02-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Unicornuate uterus occurs due to incomplete formation and fusion of the bilateral mullerian ducts. Pregnancy in this incompletely formed horn i.e., rudimentary horn pregnancy (RHP), can present with a wide range of symptoms that may be similar to ectopic pregnancies or may remain silent like a normal pregnancy. We present a case series of three women diagnosed with RHP in different periods of gestation at a tertiary care hospital in Central India. The need for high suspicion and the role of ultrasound in the accurate diagnosis of this obstetric emergency is highlighted. The literature is well stocked with case reports on RHP with different outcomes. These three cases are being reported because of their rarity.

PDF Share
  1. Virkud A. Modern gynecology. 3rd ed. Mumbai: APC Publishers; 2017. p. 167 [Chapter 15].
  2. Buntugu KA, Ntumy MY, Ameh EO, et al. Rudimentary horn pregnancy: pre-rupture diagnosis and management. Ghana Med J 2008;42(2):92–94. Available from:
  3. Tsafrir A, Rojansky N, Sela HY, et al. Rudimentary horn pregnancy: first trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging. J Ultrasound Med 2005;24(2):219–223. DOI: 10.7863/jum.2005.24.2.219.
  4. Fedele L, Dorta M, Vercellini P, et al. Ultrasound on the diagnosis of subclasses of unicornuate uterus. Obstet Gynecol 1988;71(2):274–277. Available from:
  5. Jayasinghe S, Rane A, Stalewski H, et al. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynaecol 2005;105(6):1456–1467. DOI: 10.1097/01.AOG.0000161321.94364.56.
  6. Shah N, Khan NH. Ectopic pregnancy: presentation and risk factors. J Coll Physicians Surg Pak 2005;15(9):535–538. Available from:
  7. Sivalingam VN, Duncan WC, Kirk E, et al. Diagnosis and management of ectopic pregnancy. J Fam Plann Reprod Health Care 2011;37(4):231–240. DOI: 10.1136/jfprhc-2011-0073.
  8. Desai BR, Patted Shobhana S, Pujar Yeshita V, et al. Advanced Secondary abdominal pregnancy following rupture of rudimentary horn. J Obstet Gynecol India 2005;55(2):180. Available from:
  9. Costa SD, Presley J, Bastert G. Advanced abdominal pregnancy. Obstet Gynecol Surv 1991;46(8):515–525. DOI: 10.1097/00006254-199108000-00003.
  10. Pratiksha G, Alka S, Reeti M. Secondary abdominal pregnancy and its associated diagnostic and operative dilemma: three case reports. J Med Rep 2009;3:7382. DOI: 10.4076/1752-1947-3-7382.
  11. Nilesh A, Funlayo O. Early abdominal ectopic pregnancy: challenges, update and review of current management. Obstet Gynaecol 2014;16(3):193–198. DOI: 10.1111/tog.12109.
  12. Sandberg EC, Pelligra R. The medical antigravity suit for management of surgically uncontrollable bleeding with abdominal pregnancy. Am J Obstet Gynecol 1983;146(5):519–525. DOI: 10.1016/0002-9378(83)90793-7.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.