Laparoscopic Management of a Rudimentary Horn Pregnancy

Rudimentary horn pregnancies are rare and are associated with a high rate of maternal morbidity and mortality. Laparotomy has been the standard treatment because patients usually experience massive abdominal hemorrhage, or the pregnancy is too large to attempt laparoscopic removal. In one woman, early sonographic discovery facilitated laparoscopic management. The horn was excised and removed through the top of the vagina. The patient is now pregnant in her normal uterus.