Twin pregnancy in a rudimentary uterine horn diagnosed by ultrasound and managed laparoscopically before rupture

Objective To describe a case of a pregnancy in a rudimentary horn, diagnose d by ultrasound and treated entirely with laparoscopic surgery. Subject A 33-year-old multiparous patient, who had conceived after gamete i ntrafallopian transfer to the left fallopian tube. Intervention At 9 weeks' gestation, because of mild right-sided pain, pregn ancy in a right rudimentary uterine horn, surrounded by very little endomet rium, was diagnosed by means of ultrasound. At laparoscopy, the diagnosis w as confirmed and the main body of the uterus was separated from the rudimen tary horn containing the pregnancy The tissue was then removed via one of t he abdominal ports. Conclusion Pregnancy in a rudimentary uterine horn diagnosed by ultrasound before rupture, can be treated using advanced laparoscopic surgery, with th e associated benefits of this technique.