Erschienen in:
25.07.2022 | Case Report
Non-communicating rudimentary horn pregnancy presenting as sudden unexpected maternal death: an autopsy diagnosis
verfasst von:
Nonhlanhla B. Shamase, Sibusiso J. Ntsele, Ashley S. Hammond
Erschienen in:
Forensic Science, Medicine and Pathology
|
Ausgabe 3/2023
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Abstract
Pregnancy on a rudimentary uterine horn is a rare condition that can lead to a catastrophic outcome when it ruptures. The majority of cases are diagnosed late, after the rupture has occurred. We present the case of a 29-year-old female G2 P1 who complained of abdominal pain. She consulted a medical practitioner who prescribed her analgesics. In the next day, she was found dead in her bedroom. The pregnancy was undiagnosed as she was not aware that she was in a gravid state. At autopsy, there was massive haemoperitoneum and a 24-week gestation foetus lying outside the uterus. The uterus revealed an anomaly in keeping with a non- communicating rudimentary horn. Forensic pathologists do encounter undiagnosed ectopic pregnancies in practice. However, abdominal ectopic pregnancy with a uterine anomaly remains uncommon. These cases are often associated with a high maternal and foetal mortality.