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  • Title: Diagnosis and management of a ruptured rudimentary horn pregnancy in a low-resource setting.
    Author: Nathan H, Sornum A.
    Journal: BMJ Case Rep; 2013 Jun 06; 2013():. PubMed ID: 23749832.
    Abstract:
    A 22-year-old woman presented with amenorrhoea, lower abdominal pain and brown vaginal discharge. She was noted to be in hypovolaemic shock with a distended and peritonitic abdomen. On bimanual examination, the uterus was not palpated, the posterior fornix was full and cervical excitation was present. A clinical diagnosis of a ruptured ectopic pregnancy was made. She was resuscitated and an emergency laparotomy was performed. Intraoperatively, a ruptured rudimentary horn with an ex utero pregnancy was discovered. The right horn and tube were removed, as was the non-viable fetus. There were no postoperative complications and the patient was discharged after 5 days of observation.
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