Rudimentary uterine horn pregnancy is rare and associated with risk of rupture, life-threatening haemorrhage and high foetal and maternal mortality [1]. We therefore highlight the following case and the void in the literature regarding outcomes in subsequent pregnancies. A 38-year-old multiparous (G8 P5+2) woman presented to the emergency department collapsed at 19 weeks' gestation with a history of sudden-onset abdominal pain. Routine anomaly screening by ultrasonography the previous day had diagnosed placenta praevia and a cervical fibroid but was otherwise normal. Her pregnancy had been uneventful. On examination she was haemodynamically unstable, with a distended tense painful abdomen and no blood in the vagina. Abdominal ultrasonography in the emergency department revealed a viable foetus, no sign of abruption or blood in the liquor, but fluid in the left iliac fossa and around the liver suggesting intra-abdominal haemorrhage.
展开▼
