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Gestation Within a Non-communicating Rudimentary Horn of a Unicornuate Uterus: A Case Report

Bodoor Saad S Alshareef1, Abdulmalik K Alaqeeli2, Ehab Wahbah1

  • 1Obstetrics and Gynecology, Prince Sultan Military Medical City, Riyadh, SAU.

Cureus
|September 22, 2025
PubMed

Pregnancy in a non-communicating rudimentary horn of a unicornuate uterus is a rare and potentially dangerous condition due to the risk of rupture and maternal morbidity. In this report, we discuss the case of a 39-year-old woman with three previous term deliveries who was diagnosed in the first trimester with a rudimentary horn pregnancy. She remained asymptomatic and underwent successful surgical excision of the horn containing the pregnancy. This case highlights the importance of early recognition and timely surgical management in preventing life-threatening complications.

Keywords:
congenital uterine malformationearly pregnancy ultrasoundfirst trimestermissed abortionmüllerian ductsunicornuate uterus

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