A triplet’s ectopic pregnancy in a non-communicating rudimentary horn and spontaneous rupture

Abstract

Our aim is to feature the management of ectopic pregnancy in a non-communicating rudimentary horn. It has a remarkable
life-threatening potential, being rare and difficult to be considered during differential diagnosis of acute abdomen
or sudden maternal collapse in early pregnancy. Therefore, this is a report of mid-trimester triplet’s ectopic pregnancy
which presented with sudden repeated syncopal attacks and hemodynamic instability that necessitated emergency
laparotomy to treat ruptured non-communicating rudimentary horn. The rarity of this clinical condition can lead to
multiple challenges. When a diagnosis is confirmed, the intervention plans should be independently tailored based
on the patient’s age, obstetric history, fertility wishes, as well as, surgeon’s experience. Moreover, most cases passed
unnoticed till complications took place. Thus, early diagnosis of Mullerian anomalies preconceptionally or even during
the initial antenatal visits is crucial step regarding the avoidance of such catastrophic maternal outcomes.