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Journal of Case Reports
Rudimentary horn pregnancy mimicking as a case of placenta accreta

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Aruna Nigam, Manju Puri, Shubha Sagar Trivedi, Pikee Saxena
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College,
New Delhi 110001, India


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Corresponding Author:
Dr. Aruna Nigam
E mail: prakasharuna@hotmail.com
Phone No.:  91-9868656051

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Received: 29-AUG-2011 Accepted: 23-SEP-2011 Published Online: 30-SEP-2011
DOI: http://dx.doi.org/10.17659/01.2011.0002

Pregnancy in a rudimentary horn is very rare condition and it generally culminates in rupture, in second trimester with torrential haemorrhage. The accuracy of ultrasound in diagnosing rudimentary horn pregnancy at an advanced gestation still remains elusive. We report a case of unruptured rudimentary horn pregnancy which progressed to 38 weeks of gestation. The diagnosis was missed at 24, 30 and 38 weeks of gestation on obstetric sonogram. The diagnosis was made at laparotomy when the patient was planned for caesarean section in view of placenta accreta.

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Keywords : Rudimentary horn pregnancy, placenta accreta, mullerian duct anomalies.
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