Laparoscopic removal of a rudimentary uterine horn during pregnancy - A case report

BACKGROUND: A unicornuate uterus with a rudimentary horn is a mullerian ano maly associated with endometriosis and pregnancy complications, including m iscarriage, ectopic pregnancy, uterine rupture, preterm labor and malpresen tation. Therefore, the horn is removed if it is thought to contain function al endometrium. This is usually done by laparotomy in the nonpregnant state . CASE: A woman presented during pregnancy with symptoms, examination and ult rasonogram suspicious for an ectopic pregnancy. Intraoperative findings and final pathology, however, showed a rudimentary uterine horn, which was lap aroscopically removed, and a concomitant intrauterine pregnancy. CONCLUSION: A rudimentary uterine horn may present during pregnancy and mim ic an ectopic pregnancy. In this case, the horn was removed laparoscopicall y.